TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID#: VAD<5"D'^ Date: 

Address: '^^^' ^ T.-W^ ^ / 

Remediation Contractor: _Envrionmental Restoration, LLC_ Year: _2010_ 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

D Video of property (DVD) JSBefore DAfter D Basement^ Ao JzO^C/UST^ 

t > Executive Summary (Final Report) 

13 EPA-provided property sketch 

a> Signed Access Agreement for subject property 

D Signed Access Agreement(s) for adjacent property 

a Restoration Agreement 

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

^ Confirmation data 

D Photographs _ ^ Before DCrew Photos •*During Excavation D Sod 

D 30-day Sod D 

^ As-buih sketch 

^ Completion Agreement signed by Property Owner 

^ Property close-out check list signed by EPA 

D Description of areas not meeting ROD cleanup criteria 

^ Utility clearances 

S. Property information from Douglas County Assessor's Office 

^ Property access checklist 30237923 

^ S Contact Log liiiiiiiilii i 

g Superfund 

Environmental Restoration Signature Date 

S'27-li •^EPACJ ate 
^EPA 

EPA Property Close Out Form 

Omaha Lead Site 

Property #:_ «Aogo^ Property Address: M. Date/Time: Owner's Name 

Quads Excavated: %{ Contractor Group : Environmental Restoration (ER) 

Excavation General Yes No 

1. Ifnecessary, were the correct quadrant(s) excavated and restored? y 

2. Ifnecessary, were the correct areas ofdrip zone excavated and restored? y 

Grading Sod and Vegetation Yes No 

i. Does the grading around the perimeter ofthe house in excavated areas generally slope awayfrom the 

house? 

2. Has sod been laid in all areas that were excavated? r Uk 

3. Does the sod appear to be generally healthy and growing? (Only evaluate ifinspected at 30-day time 

period). ^ ___^_^ Ai ^ 

4. Are^eddsd areas generally firm and evenly graded? A/L 

5. Are thejoints between the sod strips generally tight? (Only evaltiate ifinspected at 30-day time period). J ^ 

6. Was the property graded such that water will not pool on the property? 

7. Was damage to landscaping or plant materials avoided? y 

Gates, Fences and Retaining Walls Yes No 

1. Do gates open and close freely? (ifapplicahle) 

2. Were all gates or fences taken down during restoration activities re-installed? (if applicable) 

3. Was damage to gates or fences avoided? (ifapplicahle) tk 

4. Was damage to retaining walls avoided? (ifapplicahle) 

Foundation, Siding and Gutters Yes No 

1. Was damage to siding or trim avoided? . y 

2. Was damage to the foundation avoided? u ^ 

3. Was damage to windows avoided? c ^ 

4. Was damage to window screens or door screens avoided? ^ 

5. Was damage to downspouts or downspout extensions avoided? \ y 

Sidewalks and Driveways (Concrete) Yes No 

1. Was damage to driveway sur&ces avoided? 

2. Was damage to walkway surfaces avoided? 

Inspection notes: 

Remedial and restoration activities complete including 30-day sod warranty: 

EPA Representative: .^f^^.^^ /TT^ ^)sJ^^;gc<-jJ4z:^= ^ Date: ^ji'^UO 
i\^r '* Omaha Lead Site—EP-R7-09-05 

s ^^^ ^ 8 Environmental Restoration, LLC 

^yTyf wnww.effle.eom 

EXECUTIVE SUMMARY: 

40505 - 2577 TITUS AV 

No Issues or Concents [^ Issues/Concerns 

Detail Expianation: 
 I 

Contact Information Log 

SAID# ^SO S 

Owner's Name; fig- M /y-^ .Sv^{.[ \ Daytime Phone:( (^C^jZ/S'S- 7CAfY

I Property Address; ^S7 ^ ^TT4u ^ Av C :^n 

Attempt to contact Date/time Name 

(^ct^jhi&kd- ^ 

^'3/-/6 a^^ 4i 

) 

' 
Property Access Checklist 

SAID: ^OSO S n WORK STARTED ON; / / 

Property Address: ^>S 7 7'Tv4c> 5 h'^X- D WORKCOMPELTED ON: / / 

Ownen Q^^^:^. ^ ^r ^ Renter; 

Address: Phone: 

50t'vv<_ Fax; 

Cell/Pager: 

Phone; (c/o^]c^sS - y u ~ W Additional Information: 

Fax: 

Cell/Pager: 

^ Access Agreement Signed:/^/ (I/O ? By:;^^ / 

I2J Restoration Agreement Signed; 17 / I-p/o ? By: 1^/7 

0^Video Property Before On ; Sf / 7 A / v o By: Ci^ 

H^Digital Photos Before On ; S /2Jto/\ o By= Afe 

n Video Property After On : / / By: 

D Digital Photos After On : / / By: 

1 ^ Property Completion Agreement Signed: ^ 1 H 1 tO By: ^ 

n Final Report Signed: / / By: 1 

Additional Video or Digital Photo's Taken: 

n Video n Digital Photo On : / / Bv: 

Reason; 

n Video n Dieital Photo On : / / Bv; 

Reason; 

n Video n Dieital Photo On ; / / Bv: 

Reason; 

n Video n Dieital Photo On : / / Bv: 

Reason: 

Omaha Lead Project Work Plan Pagel of 19 
Consent for Access to Property SAID# ^f75o5 

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 enviroiunental response activities upon the followuig described premises; 

I Owner's Name: Cp^a\d i t A<_ ^ ^vc- H Daytime Phonej^;t) ¥SS'- "yCe 7 ¥ 

Addr«» ^^^^ ,

TVATJS A^>-<_ 

Address; 1 

Addresses of Properties 

covered by this Address; 

Agreement: Address; 

Address: 

PURPOSE OF INVESTIGATION 

The purpose of the remedial activities is to remove all soils at the property which are 

contaminated with hazardous substances, in particular lead at concentrations greater than.or eqtial 

to 400 parts per million (ppm). 

REMEDIAL ACTIONS 

The enviromnental response actions to be performed on said property may include the following 

activities: 

a. Taking photographs and/or video of the property before, during, and after remedial 

activities; 

b. Locating equipment and machinery on-site in preparation for and in the course ofthe 

environmental response; 

c. Planning and implementing the removal action on or near Grantor's property. 

d. Obtaining samples from Grantor's property; 

AGREEMENT NOT To INTERFERE 

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

equipment used to perfonn the activities, or to undertake any actions regarding the use of said 

property which woidd tend to endanger the health or welfare ofthe Grantees or the environment, 

or to allow others to use the property m such 

r~l I grant access to my properties Q I do not grant access to my properties 

lld27L09 

Signature Date 
Additional Comments / Instructions: 

^Check this box if owner does not want E.R. to enter the residents to document interior 

foundation walls and possible preexisting damage. By checking this box E.R. Is not responsible 

for any damage done to the interior of house, including foundation cracks or fissures. 

Ktl I agree D I do not agree Fl I agree HI I do not agree 

//-//-^f 

Contractor's Signature Date 
Restoration Agreement 

The purpose of this agreement 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). 

SAID: ypSo S 

PrcpertyAddress; QS7 7 Tl-h i /4t ^ 

Phone: ^ J Vss- yc ^ 

On the attached diagFam(s) indicate area(s) to be excavated and deptfa of excavation, location of all known 

utilities, subsurface features, sur&ce structures and landscapmg features, access location(s) to be used by 

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

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

Kems to be removed by Contractor and not replaced: 

Item: 3c. oil fs<^Ue-<_ *.rJ'4rh 

Item: JcV<_ ^ y ^ 7^ ^ 3 

ttem: f4-o.rvv^f>^^.v<&(~ L^)i ,( T-cr-v^-kx^ ^tV s ^y^ pt<^yvk^ 

Item: 

Item: 

Item: 

Item: 

Page 1 of 2 

Additional Comments / Instructions: 

jSi agree • I do not agree • I agree • I do not agree 

Owner's Signature 

/JTZiAf 

Contractor's Signature Date 

Attachments 

Page 2 of 2 
* "—f l - J ' -"• a — • • - -"W- -

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 

question, now, or at any time in the future, except those Items Usted below, if any. 

J/ososi 

Property Address: OS l 7 'TA^A/ S 

Owner: 

m ?-C«-'i»-^A\ g f<^'

^ 5.vd ^ t 

Phone: 

RgsSofsOon items In QusstJcrs: 

^f^<r fez^cs-i- 4 o 

Ksm: 

Sliem: 

Ai^tSltEcna? G«-rT:tv;5irii:3: 

J0 1 £gr&3 restcr£.£ioa ES cE-mjateied, except ss n-ateJ r > SsgrssrestarsitionIsztx^^Vd.z.i,esc'sp-tassctsd 

I 11 do Kct £gi-£-3 r=:tor£tIo-3 is CQi^jpfetcd 

A2£S7'77/J-/^_ Conti-acter' FI0+­ s Stsaatafs 
Douglas Coimty Account Information Page 1 of2 

Dougias County, Nebraska Property Record - R1750690000 

Print Report 

NEW Feature - Parcel Dimensions available @ scale 0-SO ft west of 52nd St - VJe W O n Ma p Information is valid as of 2009-12-1 Treasurer's Tax Report 

New Feature -•-•- > Auto Sales Search 

Owner 

SNELL GERALDINE D 

ETAL 

2577 TITUS AVE 

OMAHANE 68112-0000 

Property Informatio n 

Key Number: 5069 OOOO 17 

Account Type; Residential 

Parcel Number: 1750690000 


Parcel Address: 2577 TITUS AV 

OMAHANE 68112-0000 

Legal Description: MINNE LUSA LOT 7 BLOCK 12 44 X 120 

Value Informatio n 

Land Improvement Total 

2009 $5,900.00 $66,900.00 $72,800.00 

2008 $5,900.00 $66,900.00 $72,800.00 

2007 $5,900.00 $57,400.00 $63,300.00 

2006 $5,900.00 $57,400.00 $63,300.00 

2005 $5,900.00 $57,400.00 $63,300.00 

2004 $5,900.00 $42,900.00 $48,800.00 

Sales Informatio n 

Sales Date: 2004-11-15 

Deed Type: QC Book: 2004 Page: 149344 

Price: $0.00 

Grantor Gary D Snell 

Grantee: Geraldine D Snell 

Valid/Invalid: Invalid 

Exclusion Reason: Family Sale 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.12 5280.0 1.0 120.0 44.0 No 

Improvemen t Informatio n 

http://dougIasne.mapping-online.com/DouglasCoNe/static/accountrnfo.jsp?accountno=Rl... 12/16/2009 
Douglas County Account Information 

Building 1 

CLICKXO_ENLARGE IMAGE 

Square Footage: i 1261.0 

Perimeter i 0.0 

Unit Type: 

Built As: 1 1/2 Story Fin 

HVAC: Central Air to Air 

Exterior: Frame Aluminum 

Interior: Drywall 

Roof Cover: Composition Shingle 

Roof Type: Gable 

Floorcover: Allowance 

Year Built Year 

Remodeled 

Percent 

Remodeled 

1924 0% 

Detail Type Detail Description 

Appliance Allowance 

Appliance Fireplace Masonry 

Basement Bsmnt Block 8 ft 

Fixture Base Fixtures 

Fixture Batti Full 

Garage Detactied 

Porch Encl Solid Wall 

User Attic Full Finish 

Page 2 of 2 

25T7 T*ul Av* 

1 IC Story Fm 

'•'^sra ^ 

T-iy 

M l 

t... "iw""''-! 

CLICK TO ENLARGE IMAGE 

Percent Complete: 100.0% 

Quality: Average 

Condition: Average 

Condo Square Footage: 0.0 

Rooms: 6.0 

Units: 1.0 

Baths: 1.0 

Bedrooms: 3.0 

Stories: 1.5 

Foundation: Block 

Sprinkler Square Footage: 0.0 

Adjusted Year Physical Age Built 

1924 86 

Units 

1.0 

1.0 

901.0 

1.0 

1.0 

320.0 

128.0 

320.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp ?accountno=Rl... 12/16/2009 
Free People Search | WhitePages Page 1 of 1 

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Or search: 

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Geraldine D Snell I s this you? Edit 

2577 Titus Ave 

Omaha, NE 68112-3227 

(402) 455-7694 

Household: Kylie Snell 

Print mailing label 

keati 5.1. <IL ' — •" •f t \ -Vane StTM i 1 . Whlbnam SI 

I :| ^ WaSliX: 

TlltiS Ave p 

MSfySt 

. ~:~Nei«p<!ri.Ave 

B^j«ian Ave 

11 

Redid 500 yds * Ave © 2009 Microsoft Corporatfan (a) JUO'J MAVTCQ (£i AMD 

Listing date: Nov. 2009 

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http://www.whitepages.com/search/FindPerson?firstname_begins_with=l&flrstname=ger... 12/17/2009 
ENVIRONMENTAL ^ AS-BUILT DRAWING 

•DMAHA LEAD SUPERFUND SITE 

RESTORATION 

40505 

LESENS 

Quadrani excavated Dfip Zor>e Excavated C<>ntannif»ation Left Bohind 

Contract #: EP.R7-09-05 Environmental Restoration LLC 
40505 

Omah Exterior Paint North Arrcv/ a Lead Site • Good Site Sketch 

Q^Poor 

Sampling Address: 2577 TiTUS AV Q Not paint J

Sample Lead Sample Samples Collected Number LAB Concentration Collected Firm: P g • C-d - £-K -

RYASCPXA-40505 F1 ppm D Date: S-2ti?-Q « 

RYBSCPXA-40505 F2 I 5 Z ppm D 

Time: IQ : 1*^ f\-t^ -

RYCSCPXA-40505 81 ii2ie_ppm n 

Samples Analyzed 

RYDSCPXA-40505 82 fi_Lppm n

RDZSCPXA-40505 DZ IZH I ppm t D XRF Unit: CoS^O Book: 22J Q 

Rczscpyu^i 'tosos—sz­ ~ ppm n Date: Ip-Ql'Q B 

RPZSCPXA-40505 PZ Z3 S ppm \y n Time 

lca. Staff: 

Number of Samples = IG J | Q | ^^u ; 

Legend: Fl = Front Leff, F2 = Front Right, 81 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Pla; 

All quadrants are as viewed from the street, facing property 

- ^ T- ^ a ­

^^r^-^ C 
40505 

# 
ENVIRONMENTAL XRF DATA ENTRY LOG 

a 

RESTORATION 

SAID#Ht)«hcl6 DATE ^ \< ^ \ iq> 

PROPERTYADDRESS TIME 

2c m Vv->rf.a 

XRF S/N 

QUADRENT OR SAMPLE AREA 

DEPTH AVERAGE OF RESULTS SHOT#s 

redig 

• F1 

n F2 

n Bi 4 f23. t V.« ^3^»«V- Z^Z,*! 

n B2 

n DZ ^ q^ t ^% 22X^-22S\ 

• PZ 

D EZI Mfi^S . 

n EZ2 

n OTHER 

SAMPLER NAME ^>M•<H^ ^ 
Thermo Fisher Scientific Thermo 900 Middlesex Tumpike 

Billerica, MA 01821 

SCIENTIFI C 

Inilc.v 1 Inic AVI \:H.-\(.:K ADDKK.SS SA.MI'IJ; AKI'.A pi'KKA l o u DKI'I II NO IKS SAID I'l l 

1 2010.09.09 13.16 Avg of 2388-23912577 titus av DZ jimmy 6 final clearance 97.58 ± 17.95 

2 2010.09.09 13:16 2577 titus av DZ jimmy 6 final clearence 40505 103.08 ± 18.24 

3 2010.09.09 13:15 2577 titus av DZ jimmy 6 final clearance 40505 93 74 ± 17.77 

4 2010.09.09 13.14 2577 titus av DZ jimmy 6 final clearance 40505 95.91 ± 17.85 

5 2010-09.09 13:13 Avg. of2384-238( 2577 titus ov Bl jimmy 4 final clearance 122 54 ± 18.30 

6 2010-09.09 13 13 2577 titus av Bl jimmy 4 final clearance 40505 119.72 ± 18.20 

7 2010-09-09 13 12 2577 titus av Bl jimmy 4 final clearance 40505 124 78 ± 18 44 

g 2010-09-09 13:12 2577 titus av Bl jimmy 4 final clearance 40505 123.12 ± 18 27 

Page 1 of 1 09/09/10 17:10 21 
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