PAINT STABJILIZATION FILE FOLDER 

SAID #: Z?>flQl0 Date: /.^//7/fe^ 

Address: 

Remediation Contractor: PROFESSIONAL ENVIRONMENTAL ENGINEERS Year: 2009 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

Video of piwperty (DVD) 

Executive Summary 

Signed Access Agreement for subject property 

Paintmg Agreement 

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

Photographs \k^/i , g/iA oJ^I ^ 

B ^ Satisfactory restoration signed by Property Owner 

D Property close-out check list signed by EPA 

Property information from Douglas County Assessor's Office 

y confirmation that lead pamphlet "Renovate Right" was received by P0_ 

n 

D 

D 

Profession^ Env^nmmental Engineers Signature m£^ 

EPA Signature 

30054628 mmiii 

Superfund 
PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC.

"Providing cost-effective environmental solutions "

 ^''' ''olI^tNE es^Jo 

 ^ ^ jjjg! 504-3281 

Consulting • Engineering Design • Remediation • Abatement • Emergency Response 

Lead Base Stabilization Omaha, Ne 

Close Out Report 

2009 

SAID# 23506 

309 N. 35*" St 

• Dates worked: 10/17 to 10/18 2009 

• Pre property condition: Large painted duplex with concrete siding that was in poor 

condition and cracking all over. Porch and trims are painted wood and also in poor 

condition. Garage has vinyl siding. 

• Problems encountered: None 

• Owner request/concerns: Owner wanted all porch areas to match colors even though 

they were previously different. 

• Inspection/closeout dates. Owner signed 10/18 2009. Property inspected by PE project 

manager. 
2505 North 24% Suite 219 

"Providing cost-effective environmental solutions" 

Consulting » Engineering Design » Remediation • Abatement» Emergency Response 

Property Owner Close-Out Form 

(Lead-Based Paint Stabilization EPA Contract EP-R7-08-06) 

SAID: "7J?S!501 O 

PropertyAddress: f^ Q V \ ?^ S .^ V 

Owner's Name: ^^j) \\\ CjlYY] 0 "SjCphf.! ^ S 

Performance Standards/Close-Out Criteria 

1. Was the entire structure(s) painted with the exception ofthe stated, excluded 

areas? TWs would include painting of other associated features including fascia, 

eaves, siding, all trim, porches, box beams, columns, rails, and exterior surfaces of 

garages. 

2. Was all scraping and other preparation work completed satisfactorily? 

3. Were all required areas ofthe structure(s) primed as needed and painted with 

two top coats? 2 ^ 

4. Was the paint products utilized equivalent to a ^ year product/quality? 

5. Are all ofthe areas where contaminated materials have been spilled thoroughly 

vacuumed/ cleaned? 

6. Did the contractor collect/vacuum all falling and scraped paint chips on the 

entire property, roadways, alleyways, public access areas and also remove any 

other generated debris? 

7. Is the grass area that surrounds the structure(s) in reasonably good condition? 

8. Are all items such as polyethylene sheeting, ladders, paint brushes, cones, 

barrier tape, etc. properly removed? 

9. Is there any evidence ofproperty damage that was done by the contractor? Any 

property damage needs to be completed prior to the EPA Close-Out. 

10. Are there any property items that were temporarily re-located by the contractor 

that need to be moved back? 

11. Are there any (known) lingering issues with the property owner(s) that have 

been left unresolved? 

Conunents: v/r /%. i , . , t 

Omaha, NE 68110 

(402) 504-4688 

Fax (402) 504-3281 

YES NO 

/ 

1/ 

J 

• f 

J 

/ 

J 

J 

/ 

il 

if 

i^c^f-ig; uo ^ 

Propert ronertyv Owne Ownerr Siimatur Signature e I Date 

/ ^ - / T^d ^ 

ProfessionaTfenvironrnfenta jnalEnvi l Engineers Representative Date 
Oct. 2. 2009 5:43PM CU PHILOSOPHY No, 0122 P. 1 


CONSENT FOR ACCESS TO PROPERTY 


OMAHA LEAD SITE jREMEDUL ACTION - LEAD-BASED PAINT STABIUZATION 

PROPgRTVlD: ^'^SO t t PROPERTY ADDRESS; S0?-3l l NJ. 3 S+ ^ 5•^ . 

OWNER] W'llifr ^ S'hi>J>l\ejnS DAYTIME PHONE:fe< 2 ) 2g0-2.£,32 . 

CELLPHONfc 0H)l)nt'i3fl ! E-MAIL: ^ tpK^V S (gcrfrlgUoy\ , tf^^j 

OWNER'S ADDRESS IF MFFEReNT: 35l S L^JKr^-t^C /\yt * 

STFH^^^J^/^"^^^"''^^ * t^ft<y''^'»DAYTIME PHONE: 6g3^ ) IS^'-f 70g 

^5S^^i£5MlM58 E-MAIL: 

PrtiMfioRal Eavironmental Engincen» Ine. (PC)to under contract (#EP-R7-08-0() with tbe ULS. Environmeatal ProCMtioa 

Agency (EPA) to stabilise lend based paint (JLBP) on residential atrBCturei at a nHnber of properties located la OAtha, 

NebrMka. Tbe paint stabilizatiOB work If being done to protect the loll cteanupi diti are being perfbrncd by EPA contrectorh 

Fault atabillzation activities will include: serspiog of cracked or flaking LBP frem vtruetures, appUeation ef a prina eoat and two 

Q) coBti of painL Moving pans of windovn and doon iQjist locludMi and will not be addreued. 

Your fsioperation is requeited in givlag perminlon to tb» £PA cmtriictor (PE) to inter and have icceis to tbb propertyfer the 

parpoie of stabiiiztng Icftd -taicd paint as outlined on th* proptrty idcnilfled above. 

By tignins this document I agree to allow an RPA contnetor to conduct a soil clcinup it my property fbllowhig eonpledon of 

te«d4Msed palat stabiliathMi, If the wU eltanup h u noc already been perbmed. 1 uadentaad thit the etabilintion ciostnMtor 

can not provide assunnecs tbat the soil cleanup contractor will be bound to. I further understand that the soil eJeanup 

contractor will make all reasonable efforts to addr«H coocenu tbat 1, as the property owaer, may have regarding loil duao p at 

ny property. 

H y«a,lharaMd 

aaiMunofPrsatityOMMf ' Dale 

I fkilly uderstaod that by iigning tbis Consentfor Access, (1) this access will remain in effect until the work has been 

sadiflictorUy completed, (2) that die Propeny Owner or Tmani« if appUnbl*, will be given tbe Houiog and Urban Devekipncnt 

(HUD) and EPA pamphlet, ^Reaovate Right, Important Lead Hatnrd infonMiliea far Famiiice, Diay Care Providers, aad 

Schools', (3) the Propeny Owner or tenant will remove all obstnictloos firom sarftcss to be painted, (4) will aMd* by health and 

safety guidance pnnided by EPA, (S) will tlhnv photography ofproperty befbre and after the paint iiabiliBtipn worii, (6) will be 

contaewd by n FE representative approiimatdy 48 hours in advawe ofstariiog worti, (7) agree net lo obstruct or tamper with 

any ofthe LBPstabilintlon actwns, and (8) will participatefai final property in«peeilon and sign the Compledoa Agreeinent md 

Proper^r Owner Satiilbetion Snrvey. 

ShonU yoa have any questions about the plJacd Lead Bascdt-Pihit stabUintloo aaivitles for yoor property, please contact 

Pvoteslaoal Environmenial Cngtnecrs, IncProject Maaager, Willie Cby At 402-504-4688. Ceaeral questions about th* Omaha 

Lead Site cleannp can be directed to Panletti France-iitttSi EPA Remedial Project Manager 402-73t^ H or the BPA Public 

InfbnnatMn Centers at 402>99l*9Sg3 (North Omaha offfee) or 402-731-3045 (Sovth Omaha office). .

B Yaa, I Bimt eeew te my prepsrtHiiiiil was ^Ymt tit ismphlse 0 Ntt,ldeiMtgniitaeeaeateniypi«p«rty«ndlMa 

given the psoipMat'IbMOvstB Righ^ bnporlant Laad 

iBtaimitteii kifvaXm, CMM* Can Pmddara, snd kbeols." 

mniiaiiin I 'IW s atgnahira ' 'Dme Bignaiim Date. 

SmaU. MSTKUCnONS AND CONSIDERATIONS 

 v 
Oct. 2. 2009 5:43PM CU PHILOSOPHY ^0.0122 P. 2 

PAINT STABILIZATION PRE-PROPfiRTY 

PAINT MATCH ASSESSMENT 

PROPERTY ADDRESS: 36?-31 1 ^.35 ^ SfpATB: /9ci^ Z, Jgg ^ 

3 0 f aJi 3l\^lklViv-Frfji l S^vegf BVlD:. 

AREAfS) TO BE PAINTED: 

HOUSE PROPER: H B l COLOR: [/jkr-h^ ^OCa A 

H0U9ETRIM: •^£ S COLOR: uikr-k 

GARAGE: W<^ ' yiVs/ l Sp-rflV j COLOR:. 

OARAQE TRIM: \^*> W COLOR: Uyk\^4 ^ 

VE? ruu^) c^^-. nR.A^ 1. PORCH: gyt ' ( 

PORCH TRM:. :i&s COLOR: lAVKr-fe ^ 

(COMPLETE ALL SECTION, YES, NO, OR NON-APPUCABLE) 

\h;c-^V Q^V 9nrcK \x^c\ur7.c.cy^ b(\^iA03A}M 

I AGREE TO THE COLORS LISTED ABOVE. ONCE THE PAINTING 

BEGINS, I UNDERSTAND 1 CAN NOT CHANOE THE ABOVE SELECTED COLORS: 

PROPERTY OWNER SiONATUREs PE ACCESOR SIGNATURE: 

^>J^y<y^Ms. ^^^y^ 

•MM 

\ 
£)puglas County Account Information Page 1 of3 

Douglas County, Nebraska Property Record - R1304460000 

Print Report 

NEW Feature - ParT:el D(mensions available @ scale 0-SO ft west of 52nd St - VJOW O n Ma P j Information is valid as of 2009-9-3 Treasurer's Tax Report 

New Feature ->->- • Auto Sales Search 

Owner 

STEPHENS WILLIAM O 

3515 LAFAYETTE AVE 

OMAHA NE 68131-1338 341A- 2>G2>H i/inscj-qb.^- Property Informatio n 

Key Number

Account Type:

Parcel Number

Parcel Address: 

Legal Description:

Value Informatio n 

: Land 

2009 '

2008 ^

2007 '

2006 A

2005 1 

2004 

Sales Informatio n 

Sales Date:

Deed Type:

Price:

Grantor

Grantee;

Valid/Invalid:

Exclusion Reason:

Sales Date:

Deed Type:

Price:

Grantor: 

 • 0446 0000 13 

 Multiple Res 

 1304460000 

309 N 35 ST 

OMAHA NE 68131-0000 

 HAWTHORNE ADD LOT 17 BLOCK 3 50 X 136 

Improvement Total 

 $6,500.00 

 $6,500.00 

$82,900.00 

$82,900.00 

$89,400.00 

$89,400.00 -H 

 $6,500.00 $51,500.00 $58,000.00 

 $6,500.00 $51,500.00 $58,000.00 

$6,500.00 $51,500.00 $58,000.00 

$6,500.00 $51,500.00 $58,000.00 

 2003-06-02 

 QC Book: 2003 Page: 144063 

 $0.00 

 Lisa Simnns 

'A 

 William Stephens 

 invalid 

 Family Sale 

 1991-08-15 

D Book: 1911 Page: 655 

 $51,500.00 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R13... 9/11/2009 
Douglas County Account Information Page 2 of 3 

Grantee: 

Valid/Invalid: valid 

Exclusion Reason: 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.15 6800.0 1.0 136.0 50.0 No 

Improvemen t Informatio n 

Building 1 

TWO STORY B««B.,c.Bn Duplex MM«sF 

309N36 a 

First Floor Second Floor I" " BIM.D s F a U DSF 

9libnfWlitC>i4ru 

M M I 

CLICK TO ENLARGE IMAGE CLICK TO ENLARGE IMAGE 

Square Footage: 1788.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: End Condition: Average 

Built As: Duplex Two Story Condo Square Footage: 0.0 

HVAC: Central Air to Air Rooms: 10.0 

Exterior: Frame Stucco Units: 2.0 

Interior: Drywall Baths: 2.0 

Roof Cover: Composition Shingle Bedrooms: i 4.0 

Roof Type: Gable Stories: 2.0 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Percent Adjusted Year Year Built Physical Age Remodeled Remodeled Built 

1925 0% 1925 83 

Defa/7 Type Detail Description Units 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 864.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 2.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=RI3... 9/11/2009 
16IT 

PropertyAddress r^rf i K) ?) 5 ^ S "f" Date _ 

StartDate ic ) / S U O "J EndDate ICD/S^/Q' ^ 

Amount Of Prime And Paint Used 

Prime (Gallons) t?^ ^rr^ ( 

Poly (Boxes) 3 A n Xi > Q 

Paint (Color) \X ) U I f ^ Amount (Gallons) D o & ^ I 

Paint (Color) ^Qtf M /rlrA V Amount (Gallons) 3 ^ ^ / 

Paint (Coior) Amount (Gallons) 

Paint (Color) Amount (Gallons) 

Paint (Color) Amount (Gallons) 
Oct. 2. 2009 5;51PM CU PHILOSOPHY No. 0123 P. 2 


CONSENT FOR ACCESS TO PROPERTY 


OMAHA LEAD SITE REMEDIAL ACTION - LEAD-BASED PAINT STABILIZATION 

FROFfRTY ID: PROPERTY ADDRESS: SO^-31 1 fsj. 3 5"*^ Sj^. 

^^??uSl v S-h^^k^JnS DAYTIME PHONE: fi^2) 2gO-2&,32 . 

CELLPHONE. froOfSl-i3fy ISMAIL: Stf>kflS&creii^ki6!(\.^d u 

OWNER'S ADDRESS IF mFFSMST: 3 51 5 LO-J^-^ii c A^^ ' 

„ . (PiWAAiL, KJS ^Si%J7t33 8 

TENANT'S NAME IF APPLICABLE: , /'ii'-> /'^ A >o 

2<tok Fr-^zyrta<r 3ftt^^ t^^«t»»*^->DAYTlME PHONE: (^3b ; 18^ " r/O ^ 

CELLPHONfc C^O^Jb^1 " 6 T 5 O E-MAIL: 

PrefasislosAl Eavironmental Engineers, Inc (PC) is under contmct (#EP^R7-0S-0O witb the VS. EaviraaBieBial Pntaetmi 

Aeeacy (EPA) to siabilice toad based palpt (LBP) on resideBtial atnictiiras at a narnhcr of properties located hi OsMiha, 

Nebraska. Tbe palat stabiUzadon work Is being dooc to protect the soli cleadu|M thai are beiag perfbnaed by EPA coatraciDrs. 

Paint stabillzadoD activities wUI include: scrapiag of cracksd or flaking LBP tn m stmctares, applicattoa ofa prbae coat aad two 

(2) c o m of paint MeviBg pa m of wbidows and doors are wot loclvdcd and will not be addressed. 

Your coepenitioB Is requested In living permlsslOB to this EPA coatractor (PE) to enter and have aceen to this property Ibr the 

parpose of stabilbtng lead -based paint as outlined on the property identified above. 

By s^fa v this document I ngrec to allow an RPA contnetor to conduct n soil cleanup at my property folktwing completion of 

lead-bafcd paint stnbilintiOB, If the soil cleanup has not already been perfonned. i understnad that the stabiiiatinn eoatnidor 

cnn not provide assurances that the soil cleanup contractor will be bonnd tft. I hirtber undentand that the soil elennup 

contractor will make nil reasonable eflbrts to address concerns that I, as the property owner, may have rq^ardlng soil rieaaap at 

010^ property. 

9 Yes. I hsM IMd I 

OgMitprtofPraiMrtSrOMHf ' M e 

I fully understand that by signing this Consent for Access, (I) tiiis access will remain in effect until tlie work iias been 

satisfhctorily completed, (2) that the Propeny Owner or Tenant, if applicable, win be given tbe Hoosing and Urban Deveiopnent 

01UD) and EPA pamphlet, "Renovate Right, iBiporiant Lead Hixnnl infemiaiion for nunilias. Day Cire Providers, and 

Schoob", (?) tbe Property Owner or tenant will remove nil obstructions tn m surfsces to be painted, (4) will abide by health and 

mflttjr gnldanee provUed by EPA, (5) will iliow photography ofproperty bclbra and after the paint stabiliatwn work, (6) wiU be 

contacted by a PE representative approximately 48 hours In advance uf starting werk, (7) ng m not lo obslraet or tanper with 

any of the LBP stabllimtion actions, and (1) will participate In final property Ih^peeiion end sign the Completion Agreement and 

Property Owner Sntlffhetfen Survey. 

ShonU yon have any questhms about the planed Lead Based-Paint stnbiliiatioo nctivlties for yonr propeny, please contact 

ProfmsionBl Eovironmencal Engineers, Inc. Project Mnonier, Willie Cb y At 402404.468&I Cenenl qnestions nbout th i Omaha 

Lend Ste cknnnp can be directed to Pantettt France-lsetts, EPA Remedial Project Mnnnger 402-731-0454, or the EPA Pnbik 

Infftfmattoa Centen at 402>99f*9SS3 (North Omaha offlce) or 402-731-3045 (South Omaha office). ^ L 

P/e«ie raw/ + U pa.»»».phl^ ffi Ky \\3&rr^ ojuittis Cahovej, 

M YeS,iiWWe8esseloinafprBpsitnsn4<WS|i»in(IH>>wphlM D IfoildenatgniitKCBBtoraypniief^aadliiaB 

»sHnniiinrHninits,niiii olvsnntpsnipiMKMwmtonBhtliiipmtMtlsMl 

InfenMllen tDr Psmidss; Ch M Cam PioridanMnd Sdieob." 

WlmmmtttL I 'IW . SUgBthiif ' 'DMB SIgnsbm Dsts. 

SPECIAL INgmUCnONS AND CONSiDERAIIOm 
Oct. 2. 2009 5:52PM CU PHILOSOPHY No, 0123 P. 3 


PAINT STABILIZATION PRE-PROPgRTY 

PAINT MATCH ASSESSMENT 

PROPERTYADDRESS: 30? ^ 31 1 Ki.35 ^ S^l^ATE: gc;f . 2., Iglg ^ 

50f «^ 31i^'^)Vfy-Frf-f^ S-fvegP BVID: 

AREA(3) TO BE PAINTED: 

HOUSE PROPfiK:. i£ ^ COLOR; wkr-h^ 

HOUSE TRIM: ^ £ ^ .COLOR: uiUr- ^ 

GARAGE: Kft ' VlVv/l SrrflV j COLOR: 

OARAOE TRIM: \e ^ i P COLOR: U/K^-) ^ 

PORCH: M£g Ci^iAr) ^^. nuTTf . 

PORCH TRIM: ^^ ^ COLOR: ^\\)+<L . 

(COMPLETE ALL SECTION, YES, NO, OR NON^PPUCABLE) 

I AGREE TO THE COLORS LISTED ABOVE. ONCE THE PAINHNQ 

BEGINS, 1 UNDERSTAND I CAN NOT CHANGE THB ABOVE SELECTED COLORS: 

PIVSPCRtY OWNER SIGNATURE: PE ACCESOR SIGNATURE: 

^^L^C^MA. y^i^ ^ 
Oct. 2. 2009 5:51PM CU PHILOSOPHY No, 0123 P. 


FAX rs 3 fAQES 

Date: Ocjtober 2,2009 

To: Professional Environmental Engineers, Inc. 2505 N. 24* St. 

Omaha, NE 68110 

Fax:(402)504-3281 

From: William Stephens, Ovmer of 309-311N. 35^^ St. 

Daytime phone: (402) 280-2632 

Subject: EPA Paint Stabilization Consent for Access to Property 

Comments: 

Please mail the pamphlet "Renovate Right, Important Lead Infomiation..." 

to my home address: 3515 Lafayette Ave. 

Omaha, NE 68131-1338