^A 

# 

PROPERTY SUMMARY 

Date: 12/12/2007 Omaha Lead Site Remedial Action Contract # EP-R7-07-06 Month of: December 

Property Address: 2223 Ogden St 

A. EXECUTIVE SUMMARY 

A.1 Issues Encountered: 

A.2 Issues Resolved: 

A.3 Unique Findings: 

A.4 Other Relevant Information: 

CONFIRMATION SAMPLING DATA/RESULTS: 

Fl-158@6 " 

Bl -107 @ 10" 

El -159 @ Scrape 

Dl - 228 @ 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 sketchi) Shall includefinal lead levels v) Legend 

ii) Contamination left behind areas vi) Contractor identification 

iii) Property address vii) Date 

iv) BVID 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. 

40293358 

TECHNOLOGIES, INC. '"TM'' ' 

Superfund 
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Name: JySif hi-a ^ Omaha Lead Site Date: l/-/¥-^' y North Arrow - Address: ^7.?:? z^-^^^-/ '^• Site Sketch Time: /•'/© 

Phone: ^ll-Z^O ^ I 

Team i^//<y//^y/tiut^/4^ 0 ^ BVID# ^^'^f< ^ XRF Code l^^ l 

Sample Number Lead Concentration Confirmation Sample 

ppm t'Yes O No Dvfi5r:PXA-7i7^ A 

ppm •f^Yes n No ^/f i 

ppm SiVes n No (zT 

RVD^CPxA-lt>T?^ ^ t.5 

ppm S^Yes n No izr i^lo ppm No • 

ppm Yes n No IZI 

ppm Yes n No -l_ab RDZSCPLA-36896 

Result 2450 ppm /cF^O ^ 

Omaha Lead Site 46130 
(Xy—^ ^ 111^9­ ^;ii^:i»i ^ 

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Name: T^sS^ Jr-^i.--^ — Omaha Lead Site Date: /A/y-^"'3 North Arrow 

Address: -vy.l-j A.^J ^ y- '^'^^2 ^ Site Sketch Time: /'/ o 

Phone: C7/ - z^c? e O"" 

Omaha Lead S 46130 
Omaha LSfte Rem^diaf

 / .£;^. V ' . .:sriyin crdertc c: 

 ^•^""^o^rnentaf sampling ? 

PiuJfetii. Tacimologiei., lac. (Ptuwuixj is ikUiUt coniiact witii iiie U. L aueatal Piotectilm Ag. 

<EPA,MD dean'-Tics'!-^ -,---.--. ,,.-* *• ^^ -­ . x. . < 

iududiiigthetMopaty iu. . t^D. TL^ (P<d?-fl^w ^ ^ 

r»«*rmi55ioa to allow Pnidwit to pertbrtn i» =r«t rU^^^^^t ^^-^'r i?rot>i»rt^' to rernmi» IcsHJ-cnrrfanr 

r1<»9TTiiji iTjr^iidtrjj '•oil saitipli^" ••«'t'"n\')»< of l*^9d-c'jT»ti*ttatiated soi) andrcit^^'''^'^'' <^fri-io •o»orov.r-Qf4 

ptopeit\'. Aftet oltauiuig tl. - sigoaiuie cm this fomi, Pnwiiiit Teck 

property owner (and residents) vnthin the next few weeks to coorctinste petformance the work 

Ifyou have atiy questioas about die soil cleaauy piatuieJ fot yout pioperty, piease contact Pnitlajit'„ 

itratiVe Qerf: for ft" OmahB Lead Site c!e 'M004 

.^.>v;iu.utis about the Ornaha Lead Sita cieauuii i:aii^^.-».i t^.u-i LW .1:1; j^ ^ .-i j. L^.^.V ^i.uttoatiou o<um^_ J^ 

PtOj^cULV Accei:! GtauUtl B; X\ 

Pxofieily Owuex Sigtiatute. 

PROFERP/ir^rORMATJON 

VTD I ; rciu^IiL^dly rfcadeBt aaifoi property ;,l€asepriiit: 

r 5 SiDENT NAME |l£$fe ^f^ ^ C C IJcM/ ^ 17 "

--StCEMTASDRESS: 2i^^ 3 -04_AJU^__^„ . (2^>VV^La

tf REHTAt,. PR0PE.1TY iT.TOfD EY: lO^iix^ si "2^^ 6 ^Dv\>t-<3 ' 

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U ^ G^I \ D 

IOHENUMBE:^ 

H0ME7: ^^D I '^ ^ _. ^A ^ 

HA S THE EXTERIOR BEEN PAINTED OR C •"• ^ ' *) , 

NUStSEROFOCCyPAMTSUHnERTYEAE ' Q \ 

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EPA Property Close Out 

Property #: 3 ^ 2?^ Property Address: 2X1 o^^J^^ 

Date/Time: 'l/So/oy Owner's Name: iOdii '^^^/^Jlo 

Quads Excavated: fi ^&/ -h t>' Contractor Group Prudent Technologies 

Excavation General 

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

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

Grading Sod and Vesetation 

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? 

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

day time period) 

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) 

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 

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

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

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

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

Foundation, Siding and Gutters 

1. Was damage to the siding or trim avoided? 

2. Was damage to the foundation avoided? 

3. Was damage to windows avoided? 

4. Was damage to windows or door screens avoided? 

5. Was damage to downspouts or downspout extensions avoided? 

Sidewalks and Driveways (Concrete) 

1. Was damage to driveway surfaces avoided? 

2. Was damage to walkway surfaces avoided? 

Yes No 

/ 

y 

Yes No 

/ 

y 

• 

y 

y 

/ 

/ 

Yes No 

/ 

/ 

y 

y 

Yes No 

/ 

/ 

y 

X 

. / 

Yes No 

/ 

y 
Owners commeinits: 

Iiaspectiiom Eotes: 

; . , ,S3U(-S -

IJ Ci S^«u - H^iipo F SiOiy o n •^•^lt foj- ^ SIOC o f i^ c home 15 rHHrrij/rJr.mi^^ , 

V Co^c'itli: 'Moiph ^/ n c/^'»'«ta 01-Mc A/f eo'/icucf^ /ror,r. 

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y er 

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

EPA Representative dt:„rr^.^. jPc^ j^ ^ Date: fe/„/^r, 
Propeoty Compietioo 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) e.xcept those items listed below, 

if any. 

Property ID: Zh^^i C 

r Property Address: PPP ^ OGbcy Owner: i^eil Jones 

Phone: 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

 I I do not agree restoration is completed 

yy yJfy/ycTT? 

Owner's Signature Date 1 r 

I
• # 

AGREEMENT AND RELEASE FOR RESTORATION OF REAL PROPERTY 

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

Jessee Jones (hereinatter Property Owner) and the United States Environmental Protection 

Agency (hereinafter EPA). 

WHEREAS, the propert>' located at 2223 Ogden St (hereinafter the Property), more 

specitlcally described below, is owned by .lesse .Tones; 

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 fonnerly 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 

retum the Propert>' 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 tenns 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 Jesse Jones and is 

more specifically described as follows: 

NEWTON ADD BLOCK 3 LOT 8 

2. The EPA will complete the following restoration items: 

Pay $100 in lieu of purchasing any fiarther splash drains or siding items. 

3. The Property Owner acknowledges that EPA shall have no responsibilit>' for further 

restoration work at the Propert}'. 

4. The Propert}' 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 2223 Ogden St 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 
• 

Unifonn Relocation Assistance and Real Property Acquisition Policies Act. 42 U.S.C, Section 4601 

et. seq. 

5. The Property Owner affirms that he/she is the legal owner of the property at 2223 Ogden 

St. 

This agreement is entered into and made effective the ^ ' day of )^€CLMH£^''C ^ 2007. 

FOR THE PROPERTY OWNER 

O

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Date / ^ 7 ^ ^ 

FOR THE LINITED STATES ENVIRONMENTAL PROTECTION AGENCY 

Date 

U.S. EPA Region VII 

flays 2 ocj) 2 
PRUDENT TECHNOLOGIES, 8080 WARD PARKWAY, SUITE 405 

KANSASCITY, MO 64114 

(816) 363-3703 

PAY TO THE 

ORDER OF ^^^^^iw4^'g--^^^^^><pr<r\,y ^ J 

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PRUDENT TECHNOLOGIES, INC. 

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FIRST NATIONAL BAl^0 AIHF F OLATHE 

83-172/101 U 0 

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DOLLARS 0 ^ 

17576 

PRUDENT TECHNOLOGIES, INC. 

17576 

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Print Preview Page 1 of 1 

Douglas County-Omaha, NE 

TTS ^ 

Parcel ID 

Owner 

Name 

Property 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 2 

Owner City 

Owner 

State 

Owner Zip 

1838840000 

JONES 

JESSE 

2223 OGDEN 

ST 

OMAHA 

68110 

2223 OGDEN 

ST 

OMAHA 

NE 

68110 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Assessor 

Website Link 

34-16-13 

NEWTON ADD 

3 

8 

50X140.8 

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

accountno=R1838840000 

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 = 43 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=DougIas County-... 8/1/2007 
NatriB: OA^ A Date: (A 

^ 

No Property Address Dny Care AV ' ' nn'^'-rtip'? ' . 

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rjDAC^oA. fa^^^^v^ 

Vg,/ kpiwjriv,)—^cL'iAg ^MJ ^ Ag/;.Ai^Jj[ 

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hole 
Page 1 of 2 

'> 

Create Another Ticket Back to Irth Internet Send Emai 

o YOUR TICKET NUMBER IS 1860893. 

Original Call Date: 8/08/07 Time: 12:24 pm Op: CYNDIE18967 


Work to Begin Date: 8/10/07 Time: 1:00 pm 


State: NE County: DOUGLAS Place: OMAHA 


Address: 2223 Street: OGDEN ST 


Twp: 16N Rng: 13E Sect-Qtr: 33-SE,34-SW 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: Soil Excavation - Lead Remediation 


Location of Work: LOCATE ENTIRE PROPERTY 


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


Company : PRUDENT TECHNOLOGIES 


Contact Name: CYNDIE Phone: (402)504-1004 


Work Being Done For: EPA 


Depth of Excavation: 14" Corner Lot: N Front: N Rear: N 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV MAGELLAN MCI METRO MUDOl OMAHACOF 0PPDGPR5 


QLNNEIC SPRNTPCS 


Service Area Contact Phone Number Utility 

Type 

CXCATV COX COMMUNICATIONS, INC HEIDI 

Day: 4029340469 

Ah: 4029340469 

Emerg: 4029329757 

MAGELLAN MAGELLAN MIDSTREAM 

PARTNERS LP TONYA 

Day: 9185747098 

Alt: 

Emerg: 9185747098 

MCI MCI NO CALL PER 

MEMO 

Day: 8002893427 

Ah: 

Emerg: 8002893427 

METRO METRO COMM. COLLEGE CHRIS 

Day: 4024572307 

Ah: 

Emerg: 4024572313 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/8/2007 
Page 2 of 2 

• 

MUDOl METROPOLITAN UTILITIES 

DISTRICT EDWINA 

Day: 

Ah: 

Emerg: 

4025047823 

;4025047946 

OMAHACOF CITY OF OMAHA-TRAFFIC.SEWER RON 

Day: 

Alt: 

4024447197 

4024445161 

Emerg: 4024445160 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT NA 

Day: 

Ah: 

4067289343 

Emerg: 8887289343 

QLNNEIC QWEST LOCAL NETWORK NA 

Day: 

Alt: 

Emerg: 

4067289343 

8887289343 

SPRNTPCS SPRTNT SPECTRUM L P 

Day: 

Alt: 

4025371800 

4025371810 

Emerg: :8008776627 


http://vmw.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/8/2007 
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 

1838840000 

JONES 

JESSE 

2223 OGDEN 

ST 

OMAHA 

68110 

2223 OGDEN 

ST 

OMAHA 

NE 

68110 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Assessor 

Website Link 

34-16-13 

NEWTON ADD 

3 

8 

50X140.8 

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

accountno=R1838840000 

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 = 43 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_aIias/dogis/printPreview.aspx?PrintOptData=DougIas County-... 8/1/2007 
Find Record 1 Clean Up Query 1 Lead Remaining Query 1 Property Damage Query 1 Close 1 

^ 

n Owner Occupied 

Owner Name: 

|JONES JESSE 

Owner Addressl: 

Owner Address2: 

|2223 OGDEN ST 

City: 

1 OMAHA 

Owner Phone: 

|(402) 571-2506 

' 

' 

State: Zip Code: 

' 

|NE |68110 

Alternate Phone: 

1 

VJL^ -

Resident Name: 

|J0NES JESSE 

Property Address: 

[2223 OGDEN ST 

Zip Code: 

|68iib 

Resident Phone 

1 

Contractor: 

|PRUDENT2007 

Group: 

1 

Qualifying Group 

|800 

Assessment XRF Date: 

1 

Assessment Max XRF Value: 

j 824 

_

1 

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^^H 

^^^^1 

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^H 

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