TRANSMrrTAL of OMAHA LEAD SITE 

PAINT STABILIZATION FILE FOLDER 

SAID #: -^"^lU? ? Date: i3.\n\nQ | 

Add.^: ^0T ^ u ^'rA^ is\-

Remediation Confractor: PROFESSIONAL ENVIRONMENTAL ENGINEERS Year: 2009 

PAINT STABILIZATION 

PROPERTV FILE FOLDER DOCUMENTS 

tU ^ Video of property (DVD) 

EA'^^ Executive Summary 

Q 7 Signed Access Agreement for subject property 

^ y Painting Agreement 

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

Q^ ^ Photographs OCi^y^ Oyvd /lf/&r 

^ y Satisfactory restoration signed by Property Owner 

D Property close-out check list signed by EPA 

^^r Property information from Douglas County Assessor's Office 

^7^ confirmation that lead pamphlet "Renovate Right" was received by PO 

D 

D 

D 

Professional Ei ym^ 

Ignature 

>ignature Date 

30054659 nil 

Superfund 
2505 North 24^ Suite 219 

Omaha, NE 68110 

(402) 504-4688 

Fax (402) 504-3281 

PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC. 

"Providing cost-effective environmental solutions" 

Consulting • Engineering Design • Remediation • Abatement • Emergency Response 

Lead Base Stabilization Omaha, Ne 

Close Out Report 

2609 

SAID# 33168 

4023 N. 45*" St 

• Dates worked: 10/01 to 10/02 2009 

• Pre property condition: House has painted transit siding with painted wood trims. 

Soffit and eaves. Garage has wood siding and has paint flaking off. Soffit has visible 

lead paint with many areas of damaged noted. 

• Problems encountered: None 

• Owner request/concerns: Color changes to trims on garage. 

• Inspection/closeout dates. Owner signed 10/13 2009. Property inspected by PE project 

manager. 
2505 North 24% Suite 219 

"Providing cost-effective environmental solutions" 

Consulting » Engineering Design » Remediation • Abatement • Emergency Respionse 

Property Owner Close-Out Form 

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

SAID: •^31/0)? 

Property Address: MOiJrS Kl U 5 ^"h 

Owner's Name: \m( ^ Y V^l g\)€n; 

Performance Standards/Close-Out Criteria 

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

areas? This 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 reqmred areas ofthe structure(s) primed as needed and painted with 

two top coats? 

4. Was the paint products utilized equivalent to a 30 year product/quality? 

5. Are aU 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 euxjess 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 of property 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? 

Comments: 

Omaha, NE 68110 

(402) 504-4688 

Fax (402) 504-3281 

YES NO 

/ 

7 

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>C 

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v: 

X 

y 

A" 

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rP/yZ-lS.^ 7/J?Of 

Property Owner Signature Date 

m -1 -n? 

Professiona ionall Environmen&^ngngineer i s Representative Date 
OMAHA LEAD SITE REMEDIAL ACTION - LEAD-BASED PAINT STABILIZATION 

PROPERTY IP: yS I (J ^ PROPERTYADDRESS: LjDP S K I ^S ^ <St~ 

^?VY??Kv / KJ B^-f^r^ DAYTIME PHONE: HJT V ^0^ 3 

CELL PHONE: E-MAIL: 

OWNER'S ADDRESS IF DIFFERENT: 

TENANT'S NAME IF APPLICABLE: 

DAYTIME PHONE: 

CELLPHONE: E-MAIL: 

Professional Environmental Engineers, Inc (PE) is under contract (#EP-R7-D8-06) with the U.S. Environmental Protection 

Agency (EPA) to stabilize lead based paint (LBP) on residential structures at a number of properties located in Omaha, 

Nebraska. The paint stabilization worli is being done to protect the soil cleanups that are being performed by EPA contractors. 

Paint stabilization activities will include: scraping of cracked or flaking LBP from structures, application ofa prime coat and two 

(2) coats of paint. Moving parts of windows and doors arenot included and will not be addressed. 

Your cooperation is requested in giving permission to this EPA contractor (PE) to enter and have access to this property for the 

purpose of stabilizing lead -based paint as outlined on the property identified above. 

By signing this document I agree to allow an EPA contractbi! to conduct a soil cleanup at my property following completion of 

lead-based paint stabilization, if the soil cleanup has not already been performed. I understand that the stabilization contractor 

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

contractor will make all reasonable eflbrts to address concerns that I, as the property owner, may have regarding soil cleanup at 

my property. 

0> Yesilhff jbove. 

Date 

I fully understand that by signing this Consent for Access, (1) this access will remain in effect until the work has been 

satisfactorily completed, (2) that the Property Owner or Tenant, if applicable, will be given the Housing and Urban Development 

(HUD) and EPA pamphlet, "Renovate Right, Important Lead Hazard information for Families, Day Care Providers, and 

Schools", (3) the Property Owner or tenant will remove all obstructions from surfaces to be painted, (4) will abide by health and 

safety guidance provided by EPA, (5) will allow photography ofproperty before and after the paint stabilization work, (6) will be 

contacted by a PE representative approximately 48 hours in advance of starting work, (7) agree not to obstruct or tamper with 

any ofthe LBP stabilization actions, and (8) will participate in final property inspection and sign the Completion Agreement and 

Property Owner Satisfaction Survey. 

Should you have any questions about the planed Lead Based-Paint stabilization activities for your property, please contact 

Professional Environmental Engineers, Inc. Project Manager, Willie Clay At 402-504-4688. General questions about the Omaha 

Lead Site cleanup can be directed to Pauletta France-lsetts, EPA Remedial Project Manager 402-731-2454, or the EPA Public 

Information Centers at 402-991-9583 (North Omaha office) or 402-731-3045 (South Omaha office). 

0 Yes, I grant access to my property and vms given the pamphlet D No, I do not grant access to my property and! was 

"Renovate Right, Important Lead Infbnnation fbr Families, Child ghren the pamphlet "Renovate Right, Important Lead 

Care Providers, and Schools." Infbrmatlon for Families, Chllde Care Providers, and Schools.' 

^ '^27 ^ 

Signature Date Signature 

SPECIAL INSTRUCTIOMS AND CONSIDERATIONS 
PAINT STABILIZATION PRE-PROPERTY 

PAINT MATCH ASSESSMENT 

PROPERTY ADDRESS: _ ^0^5 hi 4S ^ S+ DATE: <l|«D 

BVID: 

AREA(S) TO BE PAINTED: 

HOUSE PROPER: I OLOR: (y 

PORCH TRIM: COLOR: lyo^ f^ 

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

I AGREE TO THE COLORS LISTED ABOVE. ONCE THE PAINTING 

BEGINS, I UNDERSTAND I CAN NOT CHANGE THE ABOVE SELECTED COLORS: 

PROPERTY OWNER SIGNATURE: PE ACCESOR SIGNATURE: 

A^Ui ^ Nj^esL>(^3-^ 

^N" 
Douglas County Account Information 

Page 1 of2 

5Z\(o2 

Douglas County, Nebraska Property Record - R l 129100000 

Print Report 

Information is valid as of 2009-9-3 " TM '"'*"TM" ''^"^' °''"«n«i°"» ^--i'^^ie @ scale c^5o ft west ot 52nd st - View on Map 

Treasurers Tax Reoort 1 

New Feature ~> •^ -> Auto Sales Search i 

Owner 

"BYER S TIMOTHY W 

hIAL 

4023 N 45 ST J Inr - R/\a" ? 

OMAHA NE 68104-0000 ^D O ~ lU ^ Ti 

Property Information Q \^^J ^ I -' 3/ ) - 2 

Key Number 2910 0000 11 

Account Typo: Residential 

Parcel Number 1129100000 

Parcel Address: 4023 N 45 ST 

OMAHA NE 68104-0000 

Legal Description: FONTENELLE PARK LOT 267 BLOCK 0 1/2 VAC ALLEY ADJ & 

Value Informatio n 

' Land Improvement Total 

2009 $4,200.00 $55,300.00 $59,500.00 

2008 $4,200.00 $55,300.00 $59,500.00 ^ 

2007 $4,200.00 $55,300.00 $59,500.00 

2006 $4,200.00 $55,300.00 $59,500.00 

2005 $4,200.00 $25,600.00 $29,800.00 

2004 $4,200.00 $23,200.00 $27,400.00 

Land Informatio n 

Acres SF Units Depth Width Vacant 1 

0.1 ' 4680.0 1.0 117.0 40.0 No 

Improvemen t Infor mation 

Building 1 

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Douglas County Account Information Page 2 of2 

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CLICK CLICK TO ENLARGE IMAGE TO ENLARGE IMAGE 

Square Footage: 1369.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Fair 

Unit Type: Condition: Average 

Built As: I 1 1/2 Story Fin Condo Square Footage: 0.0 

HVAC: Central Air to Air Rooms: 6.0 

Exterior: Franne Siding Units: 1.0 

Interior: Drywall Baths: 1.0 

Roof Cover: Composition Shingle Bedrooms: 3.0 

Roof Type: Gable Stories: 1.5 

Floorcover: I Allowance Foundation: Blocl^ 

Sprinkler Square Footage: , 0.0 

Year Built Year 

Remodeled 

Percent 

Remodeled 

Adjusted Year 

Built Physical Age 

1922 0% 1922 87 

Detail Type Detail Description Units 

Add On Fence Chain Link 1.0 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 816.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Porch End Screen 160.0 

User Attic 1/2 Finish 163.0 

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