PROPERTY SUMMARY

 

| Date; 11/12/2007 | Omaha Lead Site Remedial Action Contract # EP-R7-07-06 | Month of: November 

| Property Address: 2112 Miami St 

A. EXECUTIVE SUMMARY 

A.1 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: 

Bl-200@3" B2-231@3" 

El - 28 @ Scrape 

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) 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. 

40284331 

Superfund 

TECHNOLOGIES, INC. 
Omaha Lead Site 46130 
r *. 

30/07 
Omaha Lead Site 46130 
Agreegfcntto allowaccessto <^ i^S>>^ 

Omaha Lead the prSrerty in order to conduct 

Site Remedial environmental sampling and to 

remove lead-contaminated soil 

Prudent Technologies, Inc. (Prudent) is under contract wiih me U. S. Environmental Protection Agency 

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

including me property located at CX//Q? //]/#/»/' C^Cfo . The EPA requests your 

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

By signing mis form, the property owner grants permission to Prudent to perform activities related to me 

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

property. After obtaining me owner's signature on mis form, Prudent Technologies, Inc. will contact me 

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

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

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

questions about me Omaha Lead Site cleanup can be directed to me EPA Public Information Centers\at 

(402) 731-3045 (south Omaha ofticje) or (402) 991-9583 (nor^rOmaha office). 

Property Access Granted By: / ^ fOfll^./LL ^\ + . E-^ U 1 //!(/] 

Property Owner Signature: 

(Sigmturo) 

(To by resident and/or property 

RESIDENT NAHE: 

RESIDENT ADD 

RENTAL. PROPERTY OWNED BY 

OWNE R-S HAB.MG ADDRESS; 

OWMER-STELEPHONE NUE1BER-K 

AGE OF HOUSE?: YEARS.NfOWLONG HAVE YOU LA/ED HERE? 

HAS THE EXTERIOR BEEN PAWTED OR COVERED WITH SIDING SINCE 1978? YES NO 

NUtflBER OF OCCUPANTS UNDE R 7 YEARS OLD: NUMBER OF OCCUPANTS 7 YEARS OLD AND OLDER 

NUMBER OF CHILDREN UNDER 7 YE ARS OLD WHO PLAY ft THE YARD FOR 5 HOURS OR BORE PER WEEK: 

COMHE NTS OR SPECIAL INSTRUCTIONS: (LE. DOGS. E NTRY GATES. ETC.) 

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. 9604. EPA's right of access to the property is 

provided for in Section 104(e) of CERCLA, 42 U.S. C 9605(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 Property Close Out

 

Property#: 2<}?rz. Property Add* j; : Z. //£ fltftmi 

Date/Time: ////^/o-? Owner's Name: gnairn 5A ft,*. 

Quads Excavated: s. Contractor Groi j Prudent Technologies 

Excavation General Yes No 

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

2. If necessary, were the correct areas of drip zone excavated and rest red? / 

Grading Sod and Vegetation Yes No 

1. Does the grading around the perimeter of the house in excavated a ;as 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? 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) t/ 

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

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

Foundation, Siding and Gutters Yes No 

1. Was damage to the siding or trim avoided? 

^ 

2. Was damage to the foundation avoided? i/ 

3. Was damage to windows avoided? i/ 

4. Was damage to windows or door screens avoided? 

t/ 

5. Was damage to downspouts or downspout extensions avoided? i/ 

Sidewalks and Driveways (Concrete) Yes No 

1. Was damage to driveway surfaces avoided? i/ 

2. Was damage to walkway surfaces avoided? 

t/ 
Owners comments: 

Inspection notes: 

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

EPA Representative Q*J,& _ * Date: ^_ 
Name: £> Date: 5-M-&/ North Arrow 

Address?M2 Time: 7-'s? 

Phone: f 

Team XRF Code 

Sample Number Lead Concentration Confirmation Sample 

- ppm J'ves a 

~ "2 

ppm 

ppm 

ppm Yes D 

Yes a 

Omah. 46130 
Fnnt Preview rage i vii 

Douglas County-Omaha, NE 

Parcel ID 

Owner 

Name 

Property 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 2 

Owner City 

Owner 

State 

Owner Zip 

0921060000 

GREATER ST 

PAUL MINISTRIES 

INC 

21 12 MIAMI ST 

OMAHA 

68110 

2123 MIAMI ST 

OMAHA 

NE 

68110 

Sec-TwnRng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal2 

Legal3 

Legal 4 

Assessor 

Website Link 

10-15-13 

DENISES ADD 

5 

* 

E44FT 

44X122 

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

accountno=R0921 060000 

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 = 37 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas County-... 7/16/2007 
Page 1 of2 

Create Another Ticket Back to Irth Internet Send Email 

YOUR TICKET NUMBER IS 1862616. 

Original Call Date: 8/10/07 Time: 9:20 am Op: CYNDIE18967
 

Work to Begin Date: 8/14/07 Time: 9:45 am
 

State: NE County: DOUGLAS Place: OMAHA
 

Address: 2112 Street: MIAMI ST
 

Twp: 15N Rng: 13E Sect-Qtr: 10-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: 14Z" Corner Lot: N Front: N Rear: N
 

Involves Tunneling or Horizontal Boring : N Explosives: N
 

CXCATV MAGELLAN MUD01 OMAHACOF OPPDGPR5 QLNNE1C
 

Service Area Contact Phone Number Utility Type 

Day: 4029340469
 

CXCATV COX COMMUNICATIONS, INC HEIDI Alt: 4029340469
 

Emerg: 4029329757
 

Day: 9185747098 

MAGELLAN MAGELLAN MIDSTREAM PARTNERS LP TONYA Alt: 

Emerg: 9185747098 

Day: 4025047823 

MUD01 METROPOLITAN UTILITIES DISTRICT EDWINA Alt: 

Emerg: 4025047946 

Day: 4024447197
 

OMAHACOF CITY OF OMAHA-TRAFFIC,SEWER RON Alt: 4024445161 

Emerg: 4024445160 

Day: 4067289343
 

http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/10/2007 
Page 2 of2 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT NA 

Alt: 

Emerg: 8887289343 

QLNNE1C QWEST LOCAL NETWORK NA 

Day:

Alt: 

 4067289343 

Emerg: 8887289343 

http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/10/2007 
Find Record 

Sample Area: 29352 - 2112 MIAMI ST 

Owner: 

. CD Owner Occupied 

\- Owner Name: 

| [GREATER ST PAUL MINISTRIES INC 

i» Owner Addressl: 

rv

tMi 

t

' Owner Address2: 

J2123 MIAMI ST 

City: State: Zip Code: 

^ JOMAHA JNE jesno 

==> Owner Phone: Alternate Phone: 

{(402) 571-2371 j(402) 341-2231 

u^-V- ^ 

Clean Up Query j Lead Remaining Query j

Resident: 

Resident Name: 

IVACANT LOT 

Property Address: 

J2112 MIAMI ST 

Zip Code: 

J68110 

Resident Phone 

J 

 Property Damage Query ] Close 

Contract: 

Contractor: 

JPRUDENT2007 

Group: 

f ' " 

Assessment: 

Qualifying Group 

|800 

Assessment XRF Date: 

j 

Assessment Max XRF Value: 

] 911.59 
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: 29S^ t

 

Property Address: ^/;- /y-~ , f^ . 

Owner: ~ ^ AM *,-..s.,~

 Phone:

 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

I I I agree restoration is completed, except as noted above. 

I I I do not agree restoration is completed 

n/rz/07 

Owner's Signature Date 
ENVIRONMENTAL & 

CONSTRUCTION 

TECHNOLOGIES, INC. SOLUTIONS 

Property Contact Attempts 

Property ID: 

Property Address: 

Owner Name; C\ \f^f

 

Owne \ ,__,- r Phone: 

Below please find a listing of unsuccessful attempts to 

reach the above property owner. 

UJLt2 

Vo l-t* C? -

Signature Date 

Prudent Technologies, Inc. 

XL, 

Acknowledgement Signature Date 

EPA 

8080 Ward Parkway, Suite 405 2505 N. 24TM Street, Suite 308 8918 Tesoro Drive, Suite 109 

Kansas City, MO 64114 Omaha, Nebraska San Antonio, TX 78217 

Phone:(816)363-3703 Phone: (402)504-1004 (210) 822-9588 

Fax: (816) 363-3707 Fax:(402) 504-1005 Fax: (210) 579-6577