## TRANSMITTA Lof OMAHALEA D SIT E SOI LREMEDIATIO NFIL EFOLDE R 

# ^w r SAID # : ^ ^ '^' ^ 0Date : Address : Kp hLfW ^ ^ < Remediatio nContractor : Coasta l Environmenta l Group

_Year : _2010ARRA
_ SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S ^ 

### Vide o o f property (DVD ) ^ 

### Executiv e Summary ^ 

### EPA-provide dpropert y sketc h Signe dAcces s Agreemen t for subjec t property cH

- Signe dAcces s Agreement(s ) for adjacent propert y 0 Restoratio nAgreemen t 0 Settlemen t doctmient s (i.e. , for damag e o r t o replac e plants , etc. ) -& y Confirmatio ndat a 0 Photograph s W c tpCpo/A'^AK \ -V b^^An< ^ X ^v ^ s

j As-buil t sketc h £/

Satisfactory restoratio nsigne db y Property Owne r 0 Property close-ou t chec k lis t signe db y EP A -fi

— Descriptio no f area s not meetin g RO D cleanu p criteri a U Utility clearance s
« / 

### Property infi5HnationfromDougla s County Assessor' s Offic e

3021845 1 

# HMi i Superfun d

## Propert yAcces s Checklis t Property m : ^^^Q ^ D WORK STARTE D ON : Property Address : D WORK COMPELTED ON : 

# ;fiS F Owner ; ;g=')|^=i;;:jr':5g:rn^M>»' ^ '^*'°^^' ' Address : Phone : Fax : Cell/Pager : Phone : 

# ia< i Additional Information : Fax : CeU/Pager:3(^j^^^CS,g,^^^^ ^

nNotificatio nLette r Sent : / / By : / ^ Acces s Agreemen t 

### Signed : l_/J3/l O By : J 7 \Restoratio nAgreemen t Signed : 0 \/ <5/\ 0 By :

• Topsoi l Samplin g (i f applicable ) 1 1 By : Q Disposa l Samplin g (i f applicable ) 1 1 By : GGarde nSamplin g (i f applicable ) 1 1 By : S Utilit y Clearanc e Called : OS/63 > /V O ^y=0"5A«;/i o U3a.^dv ^ [Q^-Video/Photo s (Before ) 

## On : 41/22/-I D By : 0(^^<^'-' ^ nVideo/Photo s (During ) On : / / By : nVideo/Photo s (After ) On : / / By :

• Video/Photo s (30-Day ) On : / / By : Q Propert y Completio nAgreemen t Siened : / / By : nFina l Repor t Issued : / / By :

• Communit y • Cre w On : / / By :
On : . / / By : Results :

• Communit y [Z l Cre w

Omah a Lea d Sit e

## Dougla s Count y Accotm t I

n tendon Pag e 1 of 2
Dougla s County , Nebrask a Propert yRecor d - R091721000 0 Prin t Repor t NE WFeatur e - Parce l Dimension s availabl e @ scal e 0-5 0 ft wes t o f52n d S t - ViewO H Ma p Informatio n i s vali d a s o f 2009-10-1 5 Treasurer' s Ta xRepor t Ne wFeatur e -•••- • Aut o Sale s Searc h Owne r SCOTTROBER TL ETA L 421 4 CLIFTO N D R OMAH AN E 68134-000 0 Propert yInformatio n Ke yNumber : 172 1 000 0 0 9 Accoun t Type : Residentia l Parce l Number : 091721000 0 Parce l Address : Lega l Description : 150 4 GRAN TS T OMAH AN E 68110-000 0 DAR R PLAC E LO T2 8 BLOC K0 4 0 X 96. 2 Valu e Informatio n
200 9 200 8 200 7 200 6 200 5 200 4 Lan d $2,100.0 0 $2,100.0 0 $2,100.0 0 $2,100.0 0 $2,100.0 0 $2,100.0 0 Improvemen t $6,600.0 0 $6,600.0 0 $6,300.0 0 $6,300.0 0 $6,300.0 0 $11,400.0 0 Tota l $8,700.0 0 $8,700.0 0 $8,400.0 0 $8,400.0 0 $8,400.0 0 $13,500.0 0 Sale s Informatio n Sale s Date : 2000-08-0 1 Dee d Type : Price : Grantor : $3,000.0 0 Book : 216 2 Page : 42 4

Grantee : Valid/Invalid : Vali d Exclusio n Reason : Lan d Informatio n Acre s 0.0 8 S F 3840. 0 Unit s 1. 0 Dept h 96. 0 Widt h 40. 0 Vacan t N o Improvement Informatio n


## http://douglasne.mapping-onHne.com/DouglasCoNe/static/accountinfo.jsp?accountno=RO..
. 10/21/2009

### Dougla s County Accoun t Tnfifc|wtion Pag e 2 of 2 % Buildin g 1 

# J H 150 4 Gran t S « ^ ^ .^^fe^^Bi^^^a^b

. -^W^^^ ^ <» L ^f^ ' '•'•' " ftrtfl v 

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. .'W'fd H 1 CLIC KT O ENLARG E IMAG E | CLICJ<_TQ_ENLARGEJMAG E Squar e Footage : 1234. 0 Percen t Complete : 100.0 % Perimete r 0. 0 Quality : Fai r Uni t Type : Condition : Fai r

Buil t As : 1 1/ 2 Stor yUnfi n Cond o Squar e Footage : 0. 0 HVAC : Force d Ai r Rooms : 6. 0 Exterior : Fram e Sidin g Units : 1. 0 Interior : Drywal l Baths : 1. 0 Roo fCover : Compositio n Shingl e Bedrooms : 3. 0

Roo fType : Hi p Stories : 1. 0 Floorcover : Allowanc e Foundation : Bloc k Sprinkle rSquar e Footage : 0. 0 Yea r Percen t Adjuste d Yea r Yea rBuil t Physica l Ag e Remodele d Remodele d Buil t 190 2 0 % 190 2 10 7 Detai l Typ e Detai l Descriptio n Unit s Applianc e Allowanc e 1. 0 Basemen t Bsmn t Bloc k 8 f t 876. 0 Fixtur e Bas e Fixture s 1. 0 Fixtur e Bat h Ful l 1. 0 Porc h En d Soli d Wal l 144. 0



### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=RO.
. . 10/21/200 9

# m Pag e 1 of 2

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## ^i^7ot> Creat e Anothe rTicke t ) Bac k t o Irt h Interne t ) 

### Sen d Emai l ]



## YOU R TICKE T NUMBE R I S 2496447 . Origina l Cal l Date : 5/18/1 0 Time : 5:0 8 p m Op : ELIZABETH1879 0 Wor k t o Begi n Date : 5/20/1 0 Time : 5:4 5 p m State : N E Coxinty : DOUGLA S Place : OMAH A Address : 150 4 Street : GRAN T S T Twp : 15 NRng : 13 E Sect-Qtr : 10-SE-S W Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : LEA D REMEDIATIO N Locatio n o f Work : LOCAT E ENTIR E PROPERTY , AL L EASEMENT S AN D T O TH E PEDESTA L Remarks : FAX AL L CLEAR S TO : (877)662-421 1 : UNSUR E I F CORNE R LOT . Compan y: COASTA L ENVIRONMENTA L SERVIC E Contac t Name : ELIZABET H Phone : (877)662-421 0 Wor k Bein g Don e For : COASTA L Dept h o f Excavation : 4 F T Come r Lot : N Front : Y Rear : Involve s Tunnelin g o r Horizonta l Borin g : N Explosives : N CXCAT V MAGELLANMCINE B MUDO l OMAHACO F 0PPDGPR 5 QLNNEI C

Servic e Are a Contac t Phon e Numbe r UtiUt y Typ e
CXCAT V CO X COMMUNICATIONS , IN C HEID I 

### Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7

MAGELLA N MAGELLA NMIDSTREA M PARTNER S L P DEBORA H 

### Day : 918574709 8 Alt : Emerg : 918574709 8

MCINE B MC I N O CA TI PE R MEMO 

### Day : 800289342 7 Alt : Emerg : 800289342 7

MUDO l METROPOLITA NUTILITIE S DISTRIC T SAND Y 

### Day : 402504782 3 Alt : Emerg : 402504797 0

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS.
. . 5/18/201 0

### Pag e 2 of 2

OMAHACO FCIT Y O FOMAHA-TRAFFIC,SEWE RRICH/TRAFFI C 

### Day : 402444719 7 Alt : 402444516 1 Emerg : 402444516 0

OPPDGPR 5 OMAH APUBLI C POWE RDISTRIC T ELM LOCATIN G 

### Day : 406728934 3 Ah : 406207149 4 Emerg : 888728934 3
QLNNE1 C QWES T LOCALNETWOR K EL M LOCATIN G 

### Day : 406728934 3 Ah : 406207149 4 Emerg : 888728934 3

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS.
. . 5/18/201 0

# S I As-Buil t Drawin g ^
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# mah aLea dSuperfun dSit e ENVmONHENTA L CROUP

. IN C OLS# : 2820 8 Dat e Excavated : 5/19/201 0 Dat e USEP A Signe d Off : 7/28/201 0 Are a Sodden : 241 5 S O f t 

## 2820 8 Exteno fPain t Omah a Lea d Sit e [ 3 Goo d Sit e Sketc h • Poo r Samplin g Address : 150 4 GRAN TS T Q No t pain t Lea d Sampl e Sample s Collecte d Concentratio n Collecte d Sampl e Numtje r 1 A R Firm ; . RYASCPXA-2820 8 F 1 

# n Date : . 'J-LB-O B ^ RYBSCPXA-2820 8 F 2 'iOS i pp m Time : . In-.V ^ f^ > RYCSCPXA-2820 8 B 1 

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Rev2U(W.* A( rcatcd : H-Mar-<1 8

Legen d
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### D Date : <;-2, R 0 6 RYBSCPXA-2820 8 F 2 HO Q pp m 

### D Time : fe.!*^ f^ ^ RYCSCPXA-2820 8 RYDSCPXA-2820 8B 1 B2 ,5^7 3 S^f i pp m pp m 

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### #

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COASTA l EHVtltONHIhTA t C R 0 U f

. 1 N C 

## Consen t fo rAcces s T o Pr-operty RIGH TO F ENTRYT O PREMISE S 

## Granto r(th e propert yowner ) consents t o an d authorize s th e Unite d State s Environmenta l Protectio n Agenc y(EPA ) o rits authorize d representatives , collectivel y th e Grantee , t o ente ran d perfor m certai n environmenta l respons e activitie s upo n th e followin g describe d premises : "TJSt^^ ^

Owner' s Name : Daytim e Phone :

Addres s o f Propert y 

## /^^^^C^^^AT T' ^ { covere d b ythi s Agreement :
PURPOS E O F RESPONS E ACTIVITIE S 

## Th e EP Ai s requestin g acces s t o collec t soi l sample s an d remov e soi l that contain s elevate d concentration s of lea d an d ma ypos e a healt h hazard

. Th e area(s ) wil l b e excavate d t o remove contaminate d soil

. Th e remove d contaminate d soi l wil l b e replace d wit h clea n material s an d th e are a wil l b e restore d t o it s origina l condition

. Thi s wor k i s bein g performe d unde rth e Omah a Lead Superfun d Site remediatio n program . Arepresentative o f Coasta l Environmenta l Group , contracte d b yUSEPA , wil l contac t th e Granto rin-perso n t o discus s th e wor k t o b e performed , th e Granto rwil l hav e a n opportunit yt o revie wan d approve th e planne d soi l removal , an d restoratio n wor k before i t begins

. Once th e wori ( i s finished , th e Granto rwil l b e aske d t o reviewth e wori ( an d confir m tha t i t i s complet e an d meets wit h th e Grantor' s approval

. Upo n completion , th e Granto rvtnl l receive writte n documentatio n fro m EP Athat th e propert y has bee n remediated

.
ENVIRONMENTA L RESPONS E ACTION S 

## B

ysignin g thi s Acces s Agreement , th e Granto ri s grantin g th e EPA , its employees , contractor s an d subcontractor s th e right t o ente rth e property , at al l reasonabl e time s an d wit h prio rnotice , fo rth e sol e purpos e of performin g th e work

. Thi s acces s shal l remai n i n effect unti l th e wori t has bee n satisfactoril ycompleted

. Th e Granto rals o agree s to :

Pag e 1 o f 2• • " - - , *

COASTA L tHVIROHHtHTA L C M O U P IN C



### « Remov e obstruction s includin g boats , trailers , vehicles , playscap e items , woo d piles , do g houses , etc ; G Remov e flowe rbulb s o rplant s tha t th e Granto ro rth e Grantor' s tenan t ma ywis h t o save ; e Wate ran d maintai n replacemen t vegetation , includin g fertilize rapplication , a s necessarysubsequen t t o a n initia l waterin g perio d b yEPA ; cAbid e b yhealt h an d safet yguidanc e provide d b yEPA ; •I fth e propert yi s rented , assis t EP Ai n obtainin g tenan t approva l fo racces s t o th e propert yt o perfor m th e work

. ftAllo wvideotapin g and/o rphotographin g o f th e property
. AGREEMEN TNO TT O INTERFER E 

### Th e Granto ragree s no t t o interfer e o rtampe rwit h an yo fth e wor k activities , o rwit h an y o fth e wor k done , o rwit h th e equipmen t use d o n hi s property , o rt o undertak e an y action s regardin g th e us e o fsai d propert ywhic h woul d ten d t o endange rth e healt h o r welfar e o fth e Grantee s o rth e environment , o rt o allo wother s t o us e th e propert yi n suc h a manner . Should yo u hav e an yquestion s abou t thi s program , pleas e contac t Coasta l Environmenta l Group , a t (402 ) 991-119 9

Qi^ran t D i d o not gran t acces s t o m ypropertie s gran t access t o m ypropertie s 

# /Scd^^/^y ^ W

> Dat e 

### Dat e Signatur e Signatur e

G I woul d lik e t o b e presen t durin g an ysamplin g tha t i s required

.

Pag e 2 o f 2COASTA L BNVinOMHIHTAI

. G • O U P

. INC

. 

## Restoratio n Agreemen t The purpos e of thi s agreemen t i s t o provid e amutua l agreemen t as t o condition s of the propert y prior to remediationactivities
. Thi s will als o serve as documentationfo r the purpos e of assuring tha t restoration activitie s ar e completedto the satisfactionof the propert y owne r an dthe UnitedState s Environmenta l ProtectionAgenc y (EPA)
. Property ID : '^'S't^ ^ Propert y Address : /^(5 ^ fy/t4jJ'T~ Owner : f^^^rj ' 5cJ'r r Phone : ^ ^
. ^ ^Ij- Q 

### O

nthe attacheddiagram(s ) indicat e area(s ) to excavate , surface structure s an dlandscapin g feature s an d acces s location(s ) to b e usedb y the contractors . Indicat e distances , depths , materia l types , etc . Photographicall y an dVideographicall y documen t the existin g condition s of the propert y an dthe basemen t i

f necessary . Item s t o b e Remove d b yth e Owne rbefor e Star t o f Remediation : Th e removal , storage , disposal , and/o rretu m ofthese item s i s th e Owner' s responsibility

.

Item s t o b e Remove d b yth e Contracto rDurin g Remediatio n an d No t Replace d Item : 

# S^^^(l Rvu j vP-t fejL.J 1 Item :
item :
Item :

Page l 

# or 3COASTA L INVmONMIHTA L a « O U P

. INC

. 

## Item s t o B e Remove d B yContracto rDurin g Remediatio n an d Reolace d Item : 

# e 3or ) Kem :
Item :
Item :


## Landscap e Inventor y Ite m Quantit y Uni t Condition/Type/Specie s Pre-existin g propert y area , that wil l b e excavated , that i s coveredwithgrass . Quadrant s
Numbe r o f tree s > 2 inc h trun k diamete r ^ Eac h
Numbe r o f tree s < = 2 inc h trun k diamete r 

# 1 Eac h
Numbe r o f Sprinkle r Zones , Contro l Valves , Timers , Heads , etc . Attac hasketc ho f th e sprinkle r layout
. 

# Nfw

- Eac h

Nimibe r o f an dsiz e o f eac hgarden/ flower be d area . Attac hasketc ho f relativ e size s an dlocations
. 

# X Eac h Square Fee t
Agree dupo nvalu e o f plan t material s no t t o b e replace db v contractor . Not e thi s valu e wil l b e use dt o issu e aplan t vouche r t o th e propert y owner . 

### / $

Easemen t Area , t o b e excavate d 

# l^ b Eac h

Pag e 2 of

. 

## 3C O AS TAL BNVIRONHI N TAL a n o u p . INC

.


### Additiona l Comments / Instructions : Th e cit yo fOmah a ordinance s ma yprohibi t yo u fro m usin g dir t o rgrave l areas o n you rproperty a s driveway s o rvehicl e parldn g areas . Th e Environmenta l Protectio n Agenc y(EPA ) ma yb e removin g an d replacin g soi l underlyin g a grave l o rdir t are a o n you rpropertytha t yo u ma yb e usin g a s a drivewayo rvehicl e parkin g area . I f thi s i s th e case , yo u shoul d understan d tha t thi s removin g an d replacin g o fsoi l doe s no t mea n tha t an yillega l drivewa yo rparkin g are a o n you r propert yi s mad e legal

. T o th e contrary , yo u ma yb e cite d b yth e cit yi fyo u us e a grave l o rdirt are a as a drivewa yo rparlcin g area , no t withstandin g an yremova l o rreplacemen t o fsoi l b yth e EPA

. I fyo u have an yquestio n abou t legalit yo fa certai n drivewayo rparkin g area , yo u ma ycontact th e cit yp f Omaha' s Plannin g Departmen t a t (402 ) 444-5150
. Q^leas e chec k thi s bo xi f yo u understan d th e informatio n outline d above

.



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. B ycheckin g thi s boxCE G i s no t responsibl e fo ran ydamag e don e t o th e interio ro fhouse , includin g foundatio n crack s o rfissures

.

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# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 65.29 0 Supervise d By : 

## Certificat e o f Verificatio n

14 6 SOI L 2010-06-1 9 10:2 6 30.4 9 Fina l 2820 8 150 4 Gran t s t F l 13 " N

. LOPE Z confirmatio n non e

± Erro r
± 13.23 9

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpilc e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 68.63 6 Supervise d By : 

## Certificat e o f Verificatio n

14 7 SOI L 2010-06-1 9 10:2 7 30.5 4 Fina l 2820 8 150 4 Gran t s t F l 13 " N

. LOPE Z confirmatio n non e

± Erro r
± 13.39 3

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 58.82 8 Supervise d By : 

## Certificat e o f Verificatio n

14 8 SOI L 2010-06-1 9 10:2 7 30.3 8 Fina l 2820 8 150 4 Gran t s t F l 13 " N

. LOPE Z confirmatio n non e

± Erro r 12.80 1

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s AVERAG E ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

Supervise d By : 

## Certificat e o fVerificatio n

15 9 SOI L 2010-06-1 9 10:3 4 91.4 7 Fina l Av g o f156-15 8 150 4 Gran t s t B l 13 " N

. LOPE Z confirmatio n non e

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1 

## Certificat e o f Verificatio n XL3t-3902 2 Readin g N o 15 6 Mod e SOI L Tim e 2010-06-1 9 10:3 3 Duratio n 30.5 0 Sequenc e Fina l Flag s BVI D 2820 8 ADDRES S 150 4 Gran t s t QUADRAN T B l DEPH T 13 " XR F TEC H N

. LOPE Z MIS C confirmatio n NOT E non e

pp m ±Erro r P b 80.60 0 ±14.46 5 Supervise d By :

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 75.85 5 Supervise d By : 

## Certificat e o f Verificatio n

15 7 SOI L 2010-06-1 9 10:3 4 30.4 9 Fina l 2820 8 150 4 Gran t s t B l 13 " N

. LOPE Z confirmatio n non e

± Erro r
± 14.14 1

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 79.12 8 Supervise d By : 

## Certificat e o f Verificatio n

15 8 SOI L 2010-06-1 9 10:3 4 30.4 8 Fina l 2820 8 150 4 Gran t s t B l 13 " N

. LOPE Z confirmatio n non e

± Erro r
± 14.40 5

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s AVERAG E ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

Supervise d By : 

## Certificat e o fVerificatio n

16 3 SOI L 2010-06

­ 91.3 1 Fina l 1 9 10:3 8

Av g o f160-16 2 150 4 Gran t s t 8 2 10 " N

. LOPE Z confirmatio n non e

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 202.38 4 Supervise d By : 

## Certificat e o f Verificatio n

16 0 SOI L 2010-06-1 9 10:3 6 30.1 7 Fina l 2820 8 150 4 Gran t s t B 2 10 " N

. LOPE Z confirmatio n non e

± Erro r
± 22.87 4

# Therm o SCIENTIFI C Therm o Fishe rScientifl c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 232.09 9 Supervise d By : 

## Certificat e o f Verificatio n

16 1 SOI L 2010-06-1 9 10:3 7 30.5 7 Fina l 2820 8 150 4 Gran t s t B 2 10 " N

. LOPE Z confirmatio n non e

± Erro r 21.50 3

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 223.20 8 Supervise d By : 

## Certificat e o f Verificatio n

16 2 SOI L 2010-06-1 9 10:3 8 30.5 7 Fina l 2820 8 150 4 Gran t s t B 2 10 " N

. LOPE Z confirmatio n non e

± Erro r
± 21.09 0

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s AVERAG E ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

Supervise d By : 

## Certificat e o f Verificatio n

16 7 SOI L 2010-06-1 9 10:4 0 92.0 0 Fina l Av g o f164-16 6 150 4 Gran t s t F2 6 " N

. LOPE Z confirmatio n non e

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1 

## Certificat e o f Verificatio n XL3t-3902 2 Readin g N o 16 4 Mod e SOI L Tim e 2010-06-1 9 10:3 9 Duratio n 30.5 8 Sequenc e Fina l Flag s BVI D 2820 8 ADDRES S 150 4 Gran t s t QUADRAN T F 2 DEPH T 6 " XR F TEC H N

. LOPE Z MIS C confirmatio n NOT E non e

Erro r pp m P b 171.01 3 ± 18.78 0 Supervise d By :

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 172.07 6 Supervise d By : 

## Certificat e o f Verificatio n

16 5 SOI L 2010-06-1 9 10:4 0 30.5 6 Fina l 2820 8 150 4 Gran t s t F 2 6 " N

. LOPE Z confirmatio n non e

± Erro r
± 18.96 2

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 157.94 8 Supervise d By : 

## Certificat e o f Verificatio n

16 6 SOI L 2010-06-1 9 10:4 0 30.8 6 Fina l 2820 8 150 4 Gran t s t F 2 6 " N

. LOPE Z confirmatio n non e

± Erro r
± 18.17 2

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1 

## Certificat e o f Verificatio n
XL3t-3902 2 Readin g N o 17 1 Mod e SOI L Tim e 2010-06-1 9 10:4 3 Duratio n 92.2 4 Sequenc e Fina l Flag s AVERAG E Av g of 168-17 0 ADDRES S 150 4 Gran t s t QUADRAN T D Z DEPH T 13 " XR F TEC H N

. LOPE Z MIS C confirmatio n NOT E non e

pp m P b 255.313 ^ Supervise d By :

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 248.46 8 Supervise d By : 

## Certificat e o fVerificatio n

16 8 SOI L 2010-06-1 9 10:4 2 31.0 3 Fina l 2820 8 150 4 Gran t s t D Z 13 " N

. LOPE Z confirmatio n non e

±Erro r ±21.91 3

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 251.51 6 Supervise d By : 

## Certificat e o f Verificatio n

16 9 SOI L 2010-06-1 9 10:4 3 30.6 3 Fina l 2820 8 150 4 Gran t s t D Z 13 " N

. LOPE Z confirmatio n non e

± Erro r
± 22.47 6

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 265.95 5 Supervise d By : 

## Certificat e o f Verificatio n

17 0 SOI L 2010-06-1 9 10:4 3 30.5 8 Fina l 2820 8 150 4 Gran t s t D Z 13 " N

. LOPE Z confirmatio n non e

± Erro r
± 22.75 0

# i
/^A^ % Omah a Lea d Site—Fixe d Pric e EP-R7-07-0 5 I ^^^^ ^

I Coasta l Environmenta l Grou p Inc

. ^\S^? ' \~^j ^

www.c0astalha2mat.co m '^^ ^ Xp„ott ^ COASTA L * i e > o u p . IN C 

# EXECUTIV ESUMMARY : BVID #28208-(1504 GRANT ST )
No Issue s o r Concern s Issues/Concern s Detail Explanation : -DA NGARVE Y WALKE D TH EPROPERT Y O N7/28/1 0>^ ^_ 

## 0% 

# 4 Cr n # 

# EP APropert y Clos e Ou t For m Proocm..
. ^S-ZO ^ Addr^Z/T^ V fr^^ ^ ^ Propert y

Addressi-M<; ^ Y—^—T " Date/Tine : 

### Owner' s Name : )c!^X*^iX.^'i'x S Quad s Excavated : Contracto r Grou p CJDC S Ye s No Eicavatlo nGenera l 1.

If necessary , were th e conc t quadrant(s ) excavate dandrestored ? 1/^ 2.

If necessary , were th e correc t area s of drip zone excavate dandrestored ? 

## .X Gradin g So dan dVegctotJo n Ye s No 1.Doe s th e gradin g aroun dth e perimeter of th e hous e inexcavate darea s generall y slop e awa y fromth e house ? ^ 2.Ha s so dbee nlai d in al l area s tha t wer e excavated ? 3.

Doe s th e sodappear to be generall y healthy an dgrowing ? (Onl y evaluat e if inspected at a

30 

## y day tim e period ) 4.

Are soddedarea s generally fir man devenly graded ? i / 5. Ar e th e joint s betwee nth e so dstrip s generally tight ? (Only evaluat e if inspecte d at a

30 da y 

## y tim e period)
____ . 6.Wa s the propert y grade dsuchtha t wate r will no t poo l onth e property' ? / 7.Wa s damage to landscapin g or plan t material s avoided ? / Gates , Fence s aa dRetainin g Wall s Ve s No I.

Do gate s (9>e nan dclos e freely? (If applicable ) / 2.Were all gate sor fence s takendow ndurin g restoratio nactivitie s reinstalled ? (Ifapplicable ) 

### / 3.

Wa s damag e to gate s or fence s avoided ? (I f applicable ) / 4.Wa s damag e to retainin g wall s avoided ? (Ifapplicable ) / Foundation , Sidin g an dGutter s Ye s No I.Wa s damag e to th e sidin g or tri mavoided ? 

### / 2.

Wa s damag e to th e foundatio navoided ? Wa s damag e to window s avoided ? 4Wa s damag eto window s or doo r screen s avoided ? • 5.Wa s damage to downspout s or downspou t extension s avoided ? / Sidewalk s an dDriveway s (Concrete ) Ye s No 1.

Wa s damag elo driveway stuface s avoided ? 2.

Wa s damage to walkwa y surface s avoided ? 

# J

## Ovf'Der s comments :

Inspectio nnotes :

Remova l andrestorationactivate s complete including the 30-da y so dwarranty : EP ARepresentativ e Date :# #



## Propert yCompletio n Agreemen t
Thi s agreemen l docuinenl s Ih e complclio n ol reinedia i acliviiie s perroime don mypioperl y Mysignature wil l designat e ihai I am satisfie d wit h th e restoratio n of myproperly , an d tha i no item s ar e in queslions

. now , oral an ylim e in th e future , except ihos e ilem s liste d below , if an y

PropcrrylD : '2^ % 2-0 % Propert y Address : /|--QU^l/?Xyv- r 

### ^fj^ - Owner : ^^^^ ^ ^ ^ 

## Phone : (^^^^^g O Restoratio n Item s in Question :

Item : 

## Co^r^fi ^ >?A^OJ4| £ IAJ^4

. 

### c-{^<^9C ^ ^e-^^r^ ^ ho \ t^-< , i>:>r<.^n < Item : 

# /^,^ f f^xo.oH^'^ ­ - :f^dv^ ^

v->i( l t> e cl'^eci'cc i t-^'^- ^ Item : 

## ^o- V ^^s^ ^ 

# b - ^ c; p Item : Item : Item :
Additiona l Comments :

nCl^ l Agre e I'CstorAlio n is completed , excep t as note d [_ } I li o no t aurt crestoratio n ii complete d

# 6-\5-v'^ ^ Owner' s iSignatiir e t' Sicnalur cDal e Cont i aclo i 's s Signatur e

# Propert y Owne r Assessmen t o f

Per&rmaEc e Fonn^"' ^ America nRecover y an dReinvestmen t AtUiR^^^hjhji ^ ^ , , OmahaLea dSuperftin dSit e ' '^^ ' i^/l//.^/n i 2009/201 0 Remediatioi i Contractor : Coasta l Environmenta l Grou p - EP-R7-09-0 6 Propert> ' Identifie r Number : 'Z.S'ZO ^ Propert y Address : /g:o WG[ro\y\ \S^- • Property ' Owner' s Name ; fiojptg'.f^ fyc.rJJ^

- Instruction s to th e Propert y Owner : Thi s for mserve s to recor dth e Properly Owner' s assessment o f performanc e (Incentiv e 1

- Qualit y Assuranc e Surveillanc e Plan ) involvin g th e liste dremediatio ncontractor , as applicabl e t o th e Omah aLea dSite
. Thi s for mdocument s th e timelines s o f punchlis t resolution , busines s relations , complaint resolutio nan dthe overall qualit y o f work
. I f needbe , th e Propert y Owne r ma y utiliz e thi s for mto recor dproblem s and/o r issue s not specifically tie dt o a nassigned address , fo r example , busines s relation s tha t generally don' t follow the guideline s se t fort hi nthe Performanc e Wor k

Statement
. Th e Propert y Owner will indicat e his/her assessment of performanc e wit hthe contractor' s wor k

b y checkin g anumerica l ratin g o nth e tabl e belo w usin g the numerica l definition s fro m th e ratin g scal e below , thensign& date th e form
. 9-1 0 "excellent " 7- 8 "ver y good " 5- 6 "acceptable " 3- 4 "poor " 1-

2 "very poor " Propert y Owner' s Assessmen t o

f Performanc e Regardin g th e Contractor' s Wor k 1 0 5 9 4 

# 8 

# ZX

- 3 7 2 6 1 Propert y Owne r Additiona l Comiaent s fro m(optional ; continu e o nbac k pag e i f needed ) - .
Propert y Owne r Signature : _^^=qsV^
. JTr ^ ^^^^^HyX Date : L— VS ^ —\V_ )

### » Bette rBusines s Burea u « 1181 1 PStree t 

### ^JJI ­ Omaha, N E 6813 7 BBB ^ Tel : 402-391-761 2 / 800-649-681 4 Fax : 402-391-753 5 Sla-twthTiia l 

### July 9 , 201 0 Mr

. Dav e Henne y Coasta l Environmenta l Group , Inc

. 241 1 Marth a Stree t Omaha , N E 6810 5
RE : Cas e # 300059511 : Anit a Livel y Enclose d i s a complain t fro m a consumer . Thi s cas e i s NO Tbein g treate d a s a complaint , bu t w e wante d t o infor m yo u o fthi s communication

. You rBB B i s a non-profi t organizatio n dedicate d t o helpin g consumer s an d companie s resolv e disputes

. We encourag e yo u t o respon d t o th e consume ran d tr yan d resolv e th e issue s presente d i n th e complaint

. Th e BB B I s no t requestin g a writte n respons e fro m you , however , i fyo u choos e yo u ma y sen d a lette raddressin g thi s complain t fo rou rfiles

. I f yo u sen d a lette rdirectl yt o you r customer , pleas e sen d BB B a cop yo f th e response . Than k yo u fo ryou rpromp t attentio n t o thi s matter
. Sincerely , Susan , Ext

. 852 7 Disput e Resolutio n Specialis t sdylla@bbbnebraska.or g

## Bette r Busines s Burea u COMPLAIN TACTIVIPr ' REPOR TCas e # 30005951 1 Consume rInJFo : Lively , Anit a Busines s Info : Coasta l Environmenta l Group , Inc

. 150 4 Gran t S t 241 1 Marth a Stree t Omaha , N E 68110-251 1 Omaha , N E 6810 5 40 2 880-695 4 40 2 880-695 4 87 7 662-421 0

Consumer' s Origina l Complaint : Th e Epa ha d Coasta l com e ou t t o remov e lea d fro m m ypropert yaround Ma y20-23 , 2010
. Durin g th e remova l process , the ytor e dow n on e o fm yne wgutters , brok e m ysidewal k an d too k dow n m yfence

. Agu ycam e wit h a ladde ran d a sa wan d remove d th e damage d portio n o fth e gutte ran d left

. I hav e bee n i n contac t wit h Coasta l (877-662-4210) , Th e EP A(Dan-402-731-0788 , fo rth e las t 1 1/ 2 months

. Severa l peopl e hav e bee n out , take n pictures , promise d t o fi xthings. , the n nothing. , the ytoo k notes , I signe d 3 differen t form s regardin g th e damag e an d whe n the ycam e ou t th e las t time , the yha d 1 piec e o f pape rwit h th e sidewal k writte n dow n an d sai d tha t wa s al l the yhad

. The yreplace d th e portio n o f gutte rtha t the ysawe d ou t an d pu t i n newfenc e post s whic h ar e no t even . Whe n I aske d th e worker s abou t m ysidewalk , the ytol d m e the ykne wsomeon e tha t woul d pu t a ne wto p o n i t fo r$40 0 an d woul d replac e i t fo r$800

. Everyon e sai d the ywoul d fi xeverything , bu t noon e ha s don e anythin g t o date

. The yals o di d no t leve l th e bac k yard

. I tol d the m al l abou t tha t too. , the ysai d the ywoul d fi xi t too
. Than k you , Anit a Lively , Omah a N E Consumer' s Desire d Resolution : I wan t the m t o professionall yfi xwha t the ybrok e an d too k down

. BB B Processin g 07/06/201 0 we b BB B Cas e Receive d b yBB B 07/09/201 0 N M BB B Cas e Determine d t o b e INF O ONL Y- Wai t 07/09/201 0 Ott o BB B Infor m Consume r- Cas e Close d INF O ONL Y 07/09/201 0 N M MAI L Infor m Busines s o fCas e Close d INF O ONL Y% % 

## Wate rBil l Settlemen t

Property ID 2820 8 Property Addres s 150 4 Gran t S t Tenan t AnitaLivel y

I hav e receive dfromth e contractor , Coasta l Environmenta l Grou p Inc
. (Coastal) , th e sumo f $ 9.1 8 for water usag e require dt o maintai n th e sod
.
Chec k

Number 196 6 Valu e o f Chec k $9.1 8 Made Ou t T o Anit aLivel y Descriptio n o f Settlemen t T o reimburs e tenan t fo restimate d wate rcharge s o n thei rMU D monthl yinvoices

. M ysignatur e belo wi s acknowledgemen t o f th e receip t o f th e su m liste d above , whic h I furthe r acknowledg e t o b e fai rcompensatio n an d ful l paymen t fo rth e above , an d releas e Coasta l Environmenta l Grou p Inc

. fro m furthe robligation s o rliability

.

r^Signafttr c^^^
. Dat e Contractor' s Signatur e Dat e l ' •'^?^'^: ^ •^!'^;^t/^ ' r^-: ' 

## 1966 COASTA L ENVIRONMENTA L GROU P INC

. 241 1 MARTH ASTREE T 27-V104000 3 OUAHA , N E 8S10 5 6247372S M 

# bls^U o DAT E PA.

Y ORDE R

IMnsk i 

# iaiMSJ

- .^:^i34^teu A FO R
.



## • 1101.0000Ba n EiEi, 7 37E^Oi," ' Oiq&E

.