### TRANSMITTA Lo f OMAH A LEA D SIT E SOI LREMEDIATIO NFIL EFOLDE R 

## SAI D # : Q0?\^ O Date : c^)l\)aC^\O l Address : Ma\ 5 ^>CC).UV\\r \^ Remediatio nContractor : Coasta l Environmenta l Group

_Year : 200 8 SOI LREMEDIATIO N PROPERT Y nLEFOLDE RDOCUMENT S j AVide o o f property (DVD ) JZ ' Executiv e Siunmar y H ' EPA-providedproperty sketch ^ SignedAcces s Agreement fo r subject property V ^ SignedAcces s Agreement(s ) fo r adjacen t propert y j ARestoratio nAgreement JB ^ Settlemen t dociunent s (i.e. , fo r damag e or to replac e plants , etc. ) ^ Confinnatio ndat a 

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• Fina l Repor t Sent : / / Signed : Jl/43/jQO j Signed : X ' £ L ' ^ / / / / / / Called ; / / On : / / On : / / On : / / On : / / Signed : / / Issued : / / By : 

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## D,ougla s Count y Accoun t Info i irn||g ^ Pag e 1 of 3 Dougla s County , Nebrask a Propert yRecor d - R090670000 0 Prin t Repor t NE WFeatur e - Parce l Dimension s availabl e O ) scal e 0-5 0 ft wes t o f 52n d S t - ViewO H Ma p Informatio n i s vali d a s o f 2009-6-1 6 Treasurer' s Ta xRepor t Ne wFeatur e •*•*• * Aut o Sale s Searc h Owne r WECKL E KARE N 421 5 FRANKLI N S T OMAH AN E 68111-000 0 Propert yInformatio n Ke yNumber : 067 0 OOO O 0 9 Accoun t Type : Residentia l Parce l Number : 090670000 0 Parce l Address : 421 5 FRANKLI N S T OMAH AN E 68111-000 0 Lega l Description : CREIGHTON S 2N D AD D LO T4 BLOC K6 LO T4 Valu e Informatio n Lan d Improvemen t Tota l 200 9 200 8 200 7 200 6 200 5 200 4 $6,700.0 0 $6,700.0 0 $6,700.0 0 $6,700.0 0 $6,700.0 0 $6,700.0 0 $56,300.0 0 $56,300.0 0 $56,300.0 0 $56,300.0 0 $39,800.0 0 $39,800.0 0 $63,000.0 0 $63,000.0 0 $63,000.0 0 $63,000.0 0 $46,500.0 0 $46,500.0 0 Sale s Informatio n Sale s Date : 2004-02-2 7 Dee d Type : W D Book : 200 4 Page : 02885 1 Price : $64,400.0 0 Grantor : Edward D Colema n eta l Grantee : Kare n Weckl e Valld/lnvalld : Vali d Exclusio n Reason : Sale s Date : 1997-08-2 1 Dee d Type : D Book : 206 9 Page : 16 8 Price : $44,000.0 0 Grantor : 

## http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R090 . 7/7/^tK .

### Dougla s County Accoimt Info : 

## wa^^ n Pag e 2 of 3
Grantee : Valid/Invalid : Exclusio n Reason : Vali d Lan d Informatio n Acre s 0.1 6 S F 7200. 0 Unit s 1. 0 Dept h 150. 0 Widt h 48. 0 Vacan t N o Improvement Buildin g 1 Informatio n 

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### Condition : Fai r

Buil t As : 1 1/ 2 Stor yUnfi n Cond o Squar e Footage : 0. 0 HVAC : Centra l Ai rt o Ai r Rooms : 5. 0 Exterior : Fram e Sidin g Units : 1. 0 Interior : Drywal l Batlis : 1. 0 Roo f Cover : Compositio n Shingl e Bedrooms : 2. 0

Roo f Type : Gabl e Stories : 1. 5 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 192 4 0 % 192 4 8 4 Detai l Typ e Detai l Descriptio n Unit s Applianc e Allowanc e 1. 0 Applianc e SecuritySyste m 1. 0 Basemen t Bsmn t Bloc k 8 ft 988. 0 Fixtur e Bas e Fixture s 1. 0 Fixtur e Bat h Ful l 1. 0 

### http://douglasne.mapping-online.coin/DouglasCoNe/static/accountinfo.jsp?accountno=R090. . . 7/7/200 9

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• YOU RTICKE T NUMBE RI S 2332209 . Origina l Cal l Date : 8/03/0 9 Time : 12:1 8 pm Op : ELIZABETH1879 0 Wor k t o Begi n Date : 8/05/0 9 Time : 1:0 0 pm State : N E County : DOUGLA S Place : OMAH A Address : 421 5 Street : FRANKLI NS T Twp : 15 NRng : 13 E Sect-Qtr : 17-NE-N W Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : LEA D REMEDIATION Locatio n o f Work : INCLUD E AL L EASEMENT S LOCAT E ENTIR E PROPERTY Remarks : FA X AL L CLEAR S TO : (877)662-421 1 : UNSUR E ABOU T CORNE R LO T Compan y: COASTAL ENVIRONMENTA L SERVIC E Contac t Name : ELIZABET H Phone : (877)662-421 0 Wor k Being Don e For : COASTAL Dept h o f Excavation : 4 F T Corne r Lot : N Front : Y Rear : Involve s Tunnelin g o r Horizonta l Boring : N Explosives : N CXCAT V MUDO l OMAHACO F 0PPDGPR 5 QLNNEI C Servic e Are a Contac t Phon e Nuniber Utilit y Typ e CXCAT V CO X COMMUNICATIONS , IN C HEID I Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7 MUDO l METROPOLITA NUTILITIES DISTRIC T SAND Y Day : 402504782 3

Alt :

Emerg : 402504797 0 OMAHACO FCIT Y O FOMAHA-TRAFFICSEWE RRO N Day : 402444719 7

Alt : 402444516 1 Emerg : 402444516 0 OPPDGPR 5 OMAH A PUBLI C POWE RDISTRICT N A Day : 406728934 3

Alt : 406207149 4 Emerg : 888728934 3 QLNNEl C QWES T LOCA LNETWOR K N A Day : 406728934 3

Alt : 406207149 4 Emerg : 888728934 3

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# ] [ YOURTICKE T NUMBERI S 2357198 . Origina l Cal l Date : 9/04/0 9 Time : 10:2 8 a m Op : ELIZABETH1879 0 Wor k t o Begi n Date : 9/09/0 9 Time : 11:0 0 a m State : N E County : DOUGLA S Place : OMAH A Address : 421 5 Street : FRANKLI NS T Twp : 15 NRng : 13 E Sect-Qtr : 17-NE-N W Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : LEA D REMEDIATIO N Locatio n o f Work : INCLUD E AL L EASEMENT S LOCAT E ENTIR E PROPERT Y Remarks : FA X AL L CLEAR S TO : (877)662-421 1 : UNSUR E O F CORNE R LO T 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 Corne r Lot : N Front : Y Rear : Involve s Tunnelin g o r Horizonta l Borin g : N Explosives : N CXCAT V MUDO l OMAHACO F 0PPDGPR 5 QLNNEI C

Servic e Are a Contac t Phon e Nunibe r Urtlit y Typ e 

### Day : 402934046 9 CXCAT V CO X COMMUNICATIONS , IN C 

### HEID I Alt : 402934046 9 Emerg : 402932975 7 Day : 402504782 3 MUDO l METROPOLITA N UTILITIES DISTRICT SAND Y Alt : 

### Emerg : 402504797 0 Day : 402444719 7 OMAHACO FCIT Y O FOMAHA-TRAFFIC.SEWE RRO N 

### Alt : 402444516 1 Emerg : 4024445160 Day : 406728934 3 0PPDGPR 5 OMAH A PUBLI C POWE RDISTRICT N A 

### Alt : 4062071494 Emerg : 888728934 3 Day : 406728934 3 QLNNEI C QWES T LOCA LNETWOR K

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### Alt : 4062071494 Emerg : 888728934 3
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# As-Buil t Drawin g Dat e Excavated : 9/14/0 9 Dat e USEP ASigne d Off : 3/4/1 0 COASTA L 

# Omah aLea dSuperfun dSit e Are a Sodden : 258 0 s a f t

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## Consen t fo rAcces s T o Propert y RIGH TO F ENTR YT O PREMISE S 

### Granto r(th e propert yowner ) consent s t o an d authorize s th e Unite d State s Environmenta l Protectio n Agenc y(EPA ) o rit s 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 : ^ , . Owner' s Nahfie : Daytim e Phone :



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### Th e EP Ai s requestin g acces s t o collec t soi l sample s an d remov e soi l tha t contain s elevate d concentration s o flea d an d ma ypos e a healt h hazard . Th e area(s ) wil l b e excavate d t o remov e 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 Lea d Superfun d Sit e remediatio n program . Arepresentativ e o fCoasta 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 perfomied , th e Granto rwil l hav e a n opportunit yt o revie wan d approv e th e planne d soi l removal , an d restoratio n wor k befor e i t begins . Onc e th e wor k i s finished , th e Granto rwil l b e aske d t o revie wth e wor k an d confir m tha t i t i s complet e an d meet s wit h th e Grantor' s approval . Upo n completion , th e Granto rwil l receiv e writte n documentatio n fro m EP Atha t th e propert y ha s bee n remediated . ENVIRONMENTA L RESPONS E ACTION S 

### Bysignin g thi s Acces s Agreement , th e Granto ri s grantin g th e EPA , it s employees , contractor s an d subcontractor s th e righ t t o ente rth e property , a t al l reasonabl e time s an d wit h prio rnotice , fo rth e sol e purpos e o f performin g th e work . Thi s acces s shal l remai n i n effec t unti l th e wor k ha s bee n satisfactoril ycompleted . Th e Granto rals o agree s to :

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### ^ ; COASTA L [NVmONHENTA L 

### ^^ . Pno-<t ^ CROUP . IH C


### « Remov e obstruction s includin g boats , trailers , vehicles , playscap e items , woo d piles , do g houses , etc ; e Remov e flowerbulb s o rplant s tha t th e Granto ro rth e Grantor' s tenan t ma ywis h t o save ; •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 ; eAbid 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 . »Allo 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 f th e wor k activities , o rwit h an y o f th 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 Coastal Environmenta l Group , a t (402 ) 991-119 9 I gran t access t o m ypropertie s n I d o not gran t access t o m ypropertie s



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Pag e 2 o f 2COASTA L iNViHOhnrNrA L < : R O U V . IM C 

## Restoratio n Agreemen t Th e purpos e o f thi s agreement i s to provid e amutual agreement a s t o condition s ofth e propert y prio r to remediatio nactivities . Thi s wil l als o serv e a s documentatio nfor th e purpos e o f assurin g that restoratio n activitie s ar e complete dt o th e satisfactio no f th e propert y owner an dth e Unite dState s Environmental Protectio nAgenc y (EPA) .

O nth e attache ddiagram(s ) indicate area(s ) t o excavate , surfac e structure s an dlandscapin g feature s an d acces s location(s ) to b e use db y th e contractors . Indicate distances , depths , materia l types , etc . Photographicall y andVideographically document th e existin g condition s ofth e propert y an dth e basement if 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 rretur n ofthes e Item s i s th e Owner' s responsibility . 

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## EP APropert y Clos e Ou t For m Propert y #' . Propert y Addmsrii^ ^ 

# r?l^t.UO Date/Time ; Owner' s Name : J^J^l Q Quad i Excavattd ; V?
- /^ j ^ f ^ Contracto r Grou p Excavatio nGenera l 1 .I f necessaiy , wer e th e concc t qtiadrant(8 ) excavate dan drestored ? 2 .I f necessary , wer e th e correc t area s o f dri p zon e excavate dan drestored ? Gradin g So dan dVcnetoHo n I .Doe s th e gndin g aroun dth e perimeie r orth e hous e i nexcavate darea s generall y slop e awa y fromtb e house ? 2 .Ha s so dbee nlai di nal l area s tha t wer e excavated ? 3 .

Doe s th e so dappea r t o b e generall y health y andgrowing ? (Onl y evaluat e i f inspecte da t a3 0 da y tim e period ) 4 .At e sodde darea s generall y firman devenl y graded ? S .Ar e th e joint s betwee nth e so dstrip s generall y tight ? (Onl y evaluat e i f inspecte da t a3 0 da y tim e period ) 6 . Wa s th e property grade dsuc hthat wate r wil l not poo l onth e propeny ^ 

# r 7 , Wa s damag e t o landscapin g o r plan t material s avoided ? Gates , Fence s an dReufaitn g Wall s I 1 . O o gate s ope nan dclos e freely? (Ifappiicable ) 2 .Wer e al l gate s o r fence s take ndow ndurin g restoratio nactivitie s reinsulled ? (I f applicable ) 3 .Wa s damag e t o gate s o r fence s avoided ? (Ifappiicable ) 1 .Wa s damag e t o retainin g wall s avoided ? (Ifappiicable ) Foundation , SidinKan dGnMer s I .Wa s damag e t o th e sidin g o r tri mavoided ? 2 .Wa s damag e t o th e foundatio navoided ? Wa s damag e t o window s avoided ? 4 Wa s damag e t o window s o r doo r screen s avoided ? 5 .

Wa s damag e t o downspout s o r downspou t extension s avoided ? Sidewalk s an dDriveway s (Coocretc ) 1 .

Wa s damag e t o drivewa y surface s avoided ? 2 .Wa s damag e t o walkwa y surftce s avoided ? 

# y ^ mup . Yes N o



# y y Ve s No 

# y ^ 

# y 

# A y y y " Ye s N o 

# y y 

# Z ^ Z ^ Ye s N o 

## y ^ 

# y y ^ y ^ 

# ZA ^ Ye s N o 

# yI 

## Ort'Ders comnients :

^^ ^ 

## [Inspectio nnotes :

Remova l an dreslorationactivate s complet e includin g th e 30-da y so dwarranty : EP A Represenlalive \)[^\\y, LI ^ Date:^/f/^0/p _

## Propert yCompletio n Agreemen t Ihi s agiccmen i documeni s th e completio no l remedial acliviiie s perioime do nm y propert y M y signaiur e will designat e ihal I a msatisfie dwit hlh e restoratio no f m y propeily , andIha l n o ilem s ar e i nquestions , now , o r at an y lime i nth e future , excep t Ihos e ilem s liste dbelow , ifan y Propert y ID : ^ C g | ^ Q Propert y Address : ijII- 1 5" ^ -fi-.^KLX ^ <( r Owner : /C^< ^ -L^^ ^ t „ ^T f-< . Phone : Restoratio n Item s i n Question :

Item : Item : Item : Item : Item : Item : Additiona i Comments :

nyrc crcstoralio n i t completed , excep t a s noter i I d o nn t aijre cresloratio n i s complete d 

# ly i it.-2,-0< ? 

# pUkMAe — /^-^- ^ Dat e Cont i a rtot' s Signatur e D»l c