Transmittal of Omaha Lead Site 

Paint Stabilization File Folder 

Said# ^t?HO Date: 7^-^'^^< f 

Address: //^-^~ S • 3 J ~ j^ V 

Contractor: Citv of Omaha Year: ^ ^ ^ 

Paint Stabilization 

Property File Folder Documents 

i l Work Write Up 

^ ^ Signed Access Agreement for subject property 

Pre-Renovation form signed by Property Owner 

Pre-Renovation Form for Occupant/Tenant, ifapplicable 

j / Painting Agreement/City of Omaha Purchase Order 

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

Renovation Recordkeeping Checklist signed by Certified Renovator 

Property information from Douglas County Assessor's Office 

i^Othe r (describe): nCfUTk/) 

7^^ 3 -y S~-7^~ ^ ^^^ 

City of Omaha Representative Signature Date 

:^IX. EPA Representative Signature ' Date 

30262433 

Superfund 
Planning Department 

Inspector: Steve Zivny Omaha/Dougias ciwc Ccmct 

T>K . Aitoin o • 1819 Famam Street, Suitcl 003 

Date: 4/18/08 Omaha. Nebraska 68183 

(402)444-5150 

Name : Raymon d Kraus e ^^^^'^ ^'"^ '''•'''' 

A j j i-iieci'-icA-%T r Steven N . Jensen, AICP 

City of Omaha AddrCSS : 111 5 8 3 5 AV E Director 

Mike Fahey,.Mayor 

OMAHA EXTERIOR PAINT STABILIZATION PROGRAM 

FOR THE EPA OMAHA LEAD SITE 

The Ciontract bid documents consist of the following sections: 

• General Responsibilities for the Contractor and Occupant. 

• Lead Hazard Control Plan, Interim Control of Lead Based Paint Hazards. 

The Contractor Shall: 

• Comply with HUD's "Guidelines for the Evaluation and Control of Lead-Based 

Paint Hazards in Housing." (Copies are available at the Planning Department.) 

• Comply with Standards called for in the "Construction And Rehabilitation 

Specifications, Housing and Community Development Division, City of Omaha, 

Nebraska." (Copies are available at the Planning Department.) 

• Comply with the State of Nebraska Health and Human Services Regulation and 

Licensure, Title 178 Chapter 23 Lead Base Paint Regulations. • •• >. 

• Coordinate daily construction schedule with the'occupant 

• Submit information cut sheets for all substitutions or approved.equals prior to 

written approval of the Rehabilitation Inspector. 

• Repair or replace all items damaged or disturbed during construction. 

• At all times keep the site of work and surrounding area free from accumulations 

of waste materials or rubbish caused by the work. 

• Upon daily completion of work clean up all rubbish, excess material, equipment, 

and etc., that is connected with the work, and leave all parts of the work areas in a 

neat, sanitary, lead safe and presentable condition. 

• Complete this project within 30 calendar days. 

The Occupant Shall 

• Remove and store awaiy any personal property within twenty (20) feet of the area 

to be remediated. 

• Remove volunteer trees and vegetation from the drip line of the roof, and cut back 

shrubs and bushes at least two feet from the house and garage. 

• Eiisure that all household members stay at least ten feet away from all work areas 

arid also keep all pets at least ten feet away at all times until the work has been. 

Cbrnpleted and the area has passed a visual inspection. ^ ( 

• Initials " ^ 
1115 S 35 Ave (continued) 

Lead Hazard Control Plan 

Interim Control of Lead based Paint Hazards 

Paint Stabilization 

• Prepare and paint all previously painted exterior surfaces of the dwelling 

to include the fascia, eaves, siding, trim, window trim, door trim and 

foundation. Do not paint windows or doors. 

• Prepare and paint all previously painted surfaces of the front porch. 

• Prepare and paint all previously painted exterior surfaces of the garage if 

applicable. 

• AH painl colors to match existing. Prime and apply two coats. 

• See planning Department's list of approved paint products for lead 

projects. 

Lead Based Paint Waste 

Lead-based paint waste must be handled as follows , 

• All paint chips and component debris must be double bagged for disposal. 

• Clean paint chips from ground around perimeter of dwelling before 

starting, during and after the project. 

• All lead painted components and debris must be removed from the site 

daily unless otherwise approved by the construction specialist. 

• All lead-based paint debris (chips and components) must be disposed of in 

rXmunicipal solid waste landfill. 

& ' 

. 9 , 4-^-08" 

•::£SH ^ 

Occupant (if applicable) Date 

Occupant (if applicable) Date 

Witness Date 
Exterior Lead-based Paint Stabilization Program Managed by the City of 

Omaha for EPA Region 7 

Omaha Lead Site 

The purpose of this program is to prevent yards where lead-contaminated soil is cleaned 

up from becoming decontaminated by deteriorating exterior lead-based paint. This is not 

a home repair program. 

Which Homes Are Eligible? 

• Homes where soil clean-up has been or v/ill be done and an EPA contractor has 

identified deteriorating exterior lead-based paint. 

• Homes are eligible only by referral from the EPA. 

What work will be done? 

• Loose and flaking lead-based paint will be removed safely from fascia, eaves, 

siding, trim, window trim, door trim and foundation. 

•• Surfaces will be primed and painted to match existing paint color as closely as 

possible, 

What will not be done? 

• Surfaces which have no paint will not be treated. 

• Windows or doors will not be included. 

• Rotten wood will not be replaced. 

• No housing repair will be done. 

Who will perform the work? 

• EPA contractors will test paint on exterior house surfaces and give the results to 

the City of Omaha Paint Stabilization Program. 

• City Construction Specialists will prepare a work plan and contact the property 

owner for permission to proceed. 

• Work will, be competitively bid by approved, trained contractors. 

When will the work be done? 

• This program began in 2007 and will continue for several years. 

• The City staff will prioritize homes based on the presence of children under age 

six if known and the severity of the problem. 

Paint Stabilization is voluntary and will be done only with permission of the owner. 

Initials Wp > 
Consent for Access to Property 

RIGHT OF ENTRY TO PREMISES 

Grantor (the property owner) consents to and authorizes, the United iStates Environmental Protection 

Agenacy (USEPA) or its authorized representativeSj collectively the Grantee, to enter and perform 

certain environmental response activities upon the following described preniises; 

Owner's Name: Davtime Phone: 

Owner Name(s): Ray Krause 

Addresses of Properties Covered by this-Agreement 

Property Address 

City/State/Zip Code 

1115S35AV. 

Omaha, Ne (ipSlO^-noS 

Grantor understands that this grant, does not limit EPA's right of access under the Comprehensive 

Environmental Response and Liabilitv Act (CERCLA). 42 USC. & 9601-9675. or anv other law. 

PURPOSE OF ACCESS 

The purpose of the response action is to stabilize loose or flaking exterior lead-based paint on 

residential properties, including day-care facilities, where remediation of lead contaminated soil has 

or will take place. Sampling of soil may be conducted. This consent shall allow Grantee onto 

Grantor's property and further, provides the Grantee the right to perform any and all environmental 

response actions and activities it deems appropriate. 

ENVIRONMENTAL RESPONSE ACTIONS 

The environmental response actions to be performed on subject property may include the following 

activities: 

1. Locating equipment and/or machinery on subject property in preparation for and in the course of 

the response activities: 

2. Obtaining samples from Grantor's property. 

(1) 2/12/2007 
Address: 1115S35AV 

Consent for Access to Propertv (Page 2) 

3. Planning and implementing the response action on the Grantor's property. This will include 

1) removal of loose or flaking paint identified by EPA using lead-safe methods in compliance 

with HUD/EPA regulations and 2) repainting according to the attached specifications. 

TERM 

This access agreement shall be operable for the period of time it takes to complete the 

environmental response activities. Upon completion of the response actions, all rights and 

privileges given by the Grantor shall cease on that date, unless extended by a' subsequent 

agreement. 

AGREEMENT NOT TO INTERFERE 

Grantor agrees not to interfere with any of the activities undertaken by Grantee at the Property, 

tamper with any of Grantee's property, or take any actions regarding the use of the Property which 

will endanger human health or welfare or the environment, or allow others to .use,the Property in 

such manner during the term of this consent. Grantor agrees to provide notice and a copy of this 

agreement to prospective purchasers, lessees, assigns, or grantees of the property or any portion of 

it. Grantor agrees to provide 30-day notice to EPA prior to any transfer of ownership.rights to the 

property. 

SAMPLING RESULTS 

Grantee agrees to pro vide. Gran tor with the results of any and all sampling and/or analysis resulting 

from Grantee's response activities on the property. 

PRIOR CONDITIONS AGREEMENT 

The grantor agrees to the condition of the property prior to riemediation and indicaites on Page 3 any 

items to be removed by the Grantor before activities commence. 

RESTORATION OF PROPERTY 

Except for the above stated paint stabilization, the Grantee agrees that said, property will be restored 

as nearly as possible to its original state and condition as found immediately preceding the 

beginning of activities authorized, by this Agreement, following, completion of the response 

activities. 

(2) 2/12/2007 
Address: 1115 S 35 AV, Omaha, Ne, 

CURRENT CONDITION / PROPOSED RESPONSE ACTTVITIES 

The purpose of this section 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 activitites are completed to the satisfaction of the property owner and the United States 

Environmental Protection Agency (EPA). 

Items to be removed bv propertv owner prior to the response activities: 

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^ \/6(7/coes (KJ/LO 7 ^ T^y/^^o TO srr4££:<r. ' 

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5. 

Items NOT to be removed bv contractor during removal activities: 

^ ^h7^7^ 7ir 7>77S r7/i^i^^ 

2 . • 

3. 

4. 

5. 

ADDITIONAL COMMENTS: 

I have read the foregoing document and understand that it is ari agreement granting permission to 

the Grantee to enter the above described premises for the purpose of conducting environmental 

response activities^ and I agree to its terms and conditions. 

Grantor's Signature^, ryix^\/ C . j^QjjufjfJ Date _9^^^/^ ^ jjoA/V C.^ r 

(3) 2/12/2007 
Douglas County Account Information Page I of 2 

Douglas County, Nebraska Property Record - R1903440000 (T pf^ -4^ Z034t > 

Print Report 

Parcel Dimensions availabie 0 scale 0-SO ft west of 144 St - Vle w On MflB Information is valid as of 2008-3-10 

New Feature

Treasurer's Tax Report 

 ->->-» Auto Sales Search 

Owner 

KRAUSE RAYMOND E H -^^i'^U^•o ^ 

1115 8 35 AVE 

OfVlAHAN 'pio-f^n^ E 68105-0000 

Property Information 

Key Numtier: 0344 0000 19 

Account Type: Residential 

Parcel Number: 1903440000 

Parcel Address: 1115&35AV 

OMAHA NE 68105-0000 

Legal Description: OAKHURST PARK LOT 21 BLOCK 2 N 36 FT LT 20 & S 5 FT 41 X141 

Value Information 

Land Improvement Total 

2007 $11.,60d.00 $103,900.00 $115,500.00 

2006 $11,600.00 $67,300.00 $78,900.00 

2005 $11,600.00 $67,300.00 $78,900.00 

2004 $11,600.00 $67,300.00 $78,900.00 

2003 $11,600.00 $62,300.00 $73,900.00 

2002 $0.00 $0.00 $0.00 

Sales Information 

Sales Date: 1995-11-12 

Deed Type: Book: 2024 Page: 084 

Price: $65,000.00 

Grantor: 

Grantee: 

Valid/Invalid: Valid 

Exclusion Reason: 

Land Information 

Acres SF Units Depth Width Vacant 

0.13 5781.0 1.0 141.0 41.0 No 

Improvement Information 

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Douglas County Account Information Page 2 of 2 

Building 1 

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CLICK TO ENLARGE IIVIAGE CLICKJjO ENLARGE IMAGE 

Square Footage: 1196.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Average 

Built As: 1 1/2Stoi7Fin Condo Square Footage: 0.0 

HVAC: Central Air to Air Rooms: 6.0 

Exterior: Frame Siding Units: 1.0 

Interior: Drywall Batfis: 1.0 

Roof Cover: Composition Shingle Bedrooms: 3.0 

Roof Type: Gable Stories: 1.5 

Floorcover: Allowance Foundation: Blocl< 

Sprinkler Square Footage: 0.0 

Year Percent Adjusted Year Year Built Physical Age Remodeled Remodeled Built 

1920 0 0% 1920 87 

Oe(a/7 Type Detail Description Units 

Appliance Allowance 1.0 

Basement Bsmnt Blocl< 8 ft 672.0 

Fixture Base Fixtures 1.0 

Fixture Batii Full 1.0 

Garage Detached 216.0 

Porch Slab Roof Ceil 144.0 

Porch Slab Roof Ceil 48.0 

ht,t,n://rinu'?la_^ne_manning-nn]ine_cnm/Dnnt^1n';rnNp/';r3tir/3rronntinfo isn'>.qrrniintnn=R IQ 4/in/?nnR 
i :iTY OF OMAHA 

PURCHASING ­ ROOM 1003 Purchase Order 

1819 FARNAM STREET 

PURCHASE ORDER NO. REVISION PAGE 

•OMAHA, NE 68183-1003 

FAX#402-444-5423 1148004 1 

. J 

SHIP TO; 

CITY O F OMAH A 

HOUSIN G & COM M DEV R M #1111 

181 9 FARNA M STREET 

OMAHA,NE 68183 

G B ENVIRO SERVICES VENDOR: > < BILL TO: 

CITY OF OMAHA FIN/^CE 

%GARY JENKINS 

4302 MAPLE ST DISBURSEMENTS ROOM #1007 

OMAHA. NE 68111 1819 FARNAM STREET 

OMAHA.NE 68183 

ORIGINAL PURCHASE ORDER • VENDOR'S COPY (SEE INSTRUCTIONS BELOW) 

CUSTOMER ACCOUNT NO. VENDOR NO. DATE OF ORDER/ BUYER REVISED DATE//BUYER 

77408 30-MAY-08 P BURKE 

PAYMENTTERMS SHIP VIA F.O.B. 

DESTINATION 

FREIGHT TERMS REQUESTORrtJELIVER TO CONFIRM TO / TELEPHONE 

KASPAR. CATHLEEN 

> - < ITEM PART NUMBER / DESCRIPTION DELIVERY DATE QUANTITY UNIT UNIT PRICE EXTENSION 

INPORTANT-DO NOT START WORK UNTIL PROCEED ORDER IS ISSUED BY TIE PLANNING 


DEPARTMENT. 


PER GROUP 3 BID DATED 5/21/08 


All prices and amounts on this order are express 2d in : US Dol]ar 


NEEDED: 2,800.00 N 


08-JUN-08 


EPA PAINT STABILIZATION 


PROJECT 1115 SOtJTH 35 


AVENUE 


GROUP #3 


o SHIP TO: 


Address at top of pa^e 


****** * * ll * it ****. * a * * -kVi *********** * -k ********** * * 

\ NEEDED: 3,050.0 0 N 

i 08-JUN-08 

EPA PAINT STABILIZATION 


PROJECT 544 SOUTH 30 


STREET GR0UP#3 


GROUP #3 


o SHIP TO: 


Address at top of page 


SHIP TO: Address stiown atxwe. If shipment Is delayed or any items not available, advise at once. Pur­

chase order nunnber nxjst appear on all invoices, packages, packing lists, bill of lading, and correspondence. Tota Continued 

SHIPPING CHARGES TO BE PREPAID. IF APPLICABLE AND ADDED TO INVOICED, copy to be fur­ l C D

nished with invoice. 

TAX EXEMPTION: The City of Omaha is exempt from Federal Excise'Taxes and the Nebraska and City of 

Omaha Sales Taxes. Federal I.O. 476006304; STATE I.D: 01-0316768; Fuel Dealers Lie. 91-0316768. Ciiy Purchaiing AsenI / Buyer