Transmittal of Oniaha Lead Site 

Paint Stabilization File Folder 

Said# ^7 3 75" " Date: /Q-JO-O d 

Address: 3 3 "7 C) F^^K^I ^ M 

Contractor: Citv of Omaha Year: ^OO p 

Paint Stabilization 

Property File Folder Documents 

_l/w c /ork Write Up 

Signed Access Agreement for subject property 

Pre-Renovation form signed by Property Owner 

Pre-Renovation Form for OccupantTTenant, ifapplicable 

^ 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 

L^ Property information from Douglas County Assessor's Office 

^ Other (describe): \r\ 0(fQ> '.. ., 

\t^ ^ /^^v- ^ :3 "f^- /' 

City of Omaha Representative Signature Date 

EPA Representative Signature - - - Date 

30262436 

iiniiiiiniiiHi 

Superfund 
TY OF OMAHA 

PURCHASING - ROOM 1003 Purchase Order 

1819 FARNAM STREET REVISION PAGE 

OMAHA, NE 68183-1003 

1150236 

PURCHASE ORDER NO. 

FAX# 402-444-5423 

SHIPTO: 

CITY OF OMAHA 

HOUSING & COMM DEV RM #1111 

1819 FARNAM STREET 

0MAHA.NE 68183 

LAMB'S REMODELING INC VENDOR: > < BILL TO: 21210WELSH RD CITY OF OMAHA,FINANCE ELKHORN. NE 68022 DISBURSEMENTS ROOM #1007 

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 

6652 28-AUG-08 P BURKE 

PAYMENT TERMS SHIP VIA F.O.B: 

DESTINATION 

FREIGHT TERMS REQUESTOR/DELIVER TO CONFIRM TO / TELEPHONE 

MARUCA.T MARIE 

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

3 0-AUG-08 

EPA PAINT STABILIZATION 


PROGRAM GROUP 26 3370 


PATRICK AVE. 
 O SHIP TO: 


Address at top of page 


********************^************************ * 

i NEEDED: 1,140.0 0 N • 30-AUG-08 


EPA PAINT STABILIZATIOKf 


PROGRAM GROUP 26 4237 


LAKE ST. 
 O SHIP TO: 


Address at top of pape 


******************* * ************************* * 

SHIP TO: Address shown above. If shipment is delayed or any items not available, advise at once. Purchase order number must appear on all invoices, packages, packing lists, bill of lading, and correspondence. 

SHIPPING CHAR'GES TO BE PREPAID, IF APPLICABLE AND ADDED TO INVOICED, copy to be furnished 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 Uc. 91-0316768. 
-C 

t TY OF OMAHA 

PURCHASING ­ ROOM 1003 Purchase Order 

1819 FARNAM STREET / • 

PURCHASE ORDER NO. REVISION PAGE 

OMAHA, NE 68183-1003 

FAX# 402-444-5423 1150236 0 1 

V 

SHIP TO; 

CITY OF OMAHA 

HOUSING & COMM DEV RM #1111 

1819 FARNAM STREET 

OMAHA,NE 68183 

LAMB'S REMODELING INC VENDOR: > 

BILL TO: 21210 WELSH RD CITY OF OMAHA FINANCE ELKHORN, NE 68022 DISBURSEMENTS ROO M #1007 

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 

6652 28-AUG-08 P BURKE 

PAYMENT TERMS SHIP VIA F.O.B. 

DESTINATION 

FREIGHT TERMS REQUESTOR/DELIVER TO CONFIRM TO /TELEPHONE 

MARUCA.T MARIE 

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

IMPORTANT DO NOT START WORK UNTIL PROCEED ORDEp IS ISSUED BY THE PLANNING 

DEPARTMENT - PER GROUP 26 BID DTAED 8/27/08 

All prices and amounts on this order are express d in : US Doi: ar 


NEEDED: 
 1,380.00 N
 30-AUG-08 


EPA PAINT STABILIZATION 


PROGRAM GROUP 26 2610 


S. 3 2ND ST.. 
 b' SHIP TO: 


Address at top of page 


********************w************************* 


NEEDED: 1,240.00 .N 


30-AUG-08 


EPA PAINT STABILIZATION 


PROGRAM GROUP 26 3302 


LAFAYETTE AVE. 
 O SHIP TO: 


Address at top. of page 


jt*** * ************* * ****** *
 ********* *.* ********* 


NEEDED.: 960.00 N, 


SHIP TO: Address shown above. If shipment is delayed or any items not available, advise at once. Pur­

chase order number must appear oil all invoices, packages, packing lists, bill of lading, and correspondence. Total C 

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

nished with invoice. 

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

Omaha Sales Taxes. Federal I.D. 476006304; STATE I.D. 01-0316768; Fuel Dealers Lie. 91-0316768. Cily Purchasing Ageni / Buyer 
Planning Department 

Inspector: Bob Pickeral Omaha/Douglas civic Center 

Date: June 18,2008 '^^''A'T\^,'u'^f';i?o^ ' Omaha, Nebraska 68183 

(402)444-5150 

Name: Janyce McNeil Tciefax(402)546-07i4 

ci.y of Omaha Addiessi 3370 Patrick Ave. ^••=^'^" ^'^'"""DJ^Sfr 

Mike Fahey, Mayor 

OMAHA EXTERIOR PAINT STABILIZATION PROGRAM 

FOR THE EPA OMAHA LEAD SITE 

The Contract 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 Coiitractor 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 iPaint 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 away 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. 

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

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

completed arid the area has passed a visual inspection. 

InitialsJZ^ 
Address (continued) 3370 Patrick Ave. 

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, eayes, 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. 

• All paint 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 foIloVvs 

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

• • Clean paint chips before starting, during and after the project. 

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

daily iinless otherwise approved by the construction specialist. 

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

a municipal solid waste landfill. 

ntr\^^U^\-oi 

'Property. Owner Date 

Property Owner Date 

Witness Date 

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 recontaminated 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 will 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 exterior walls, 

trim, and window, frames. 

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

possible. 

What will not be done? 

• Surfaces which have no lead-based paint will not be treated 

• Windows will not be treated 

• Rotten wood will not be replaced 

• No housing repair will be done 

Who will perform the work? 

• EPA contractors will test paint on exterior hoe 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 permissiori to proceed. 

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

When will the work be done? 

• This pr9gram 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 ^ ^ » 
Consent for Access to Property 

RIGHT OF ENTRY TO PREMISES 

Grantor (the property owner) consents to arid authorizes the Uriited States Environmental Pi-otection 

Agency (USEPA) or its authorized representatives,' collectively the Grantee, to enter and perform 

certain environmental response activities upon the following described premises: 

Owner's Name: Davtime Phone: 

Owner Naine(s): Janyce McNeil 689-2566 

Addresses of Properties Covered by this Agreement 

Property Address 

City/State/Zip Code 

3370 Patrick Av 

Omaha. Ne 68111 

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: 3370 Patrick Av 

Consent for Access to Propertv (Page 2) 

3. Planning and implementing the response action on the Grantor's property. This \yill 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. Upoii 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 ait 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 provide Grantor 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 remediation and indicates 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: 3370 Patrick Av, Omaha, Ne, 68111 

CURRENT CONDITION / PROPOSED RESPONSE ACTIVrnES 

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 Uriited States 

Environmental Protection Agency (EPA). 

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

1. 

2. . 

3. 

4. 

5. 

Items NOT to be removed bv contractor during removal activities: 

1. 

2. 

.3. 

4 . • 

5. 

ADDITIONAL COMMENTS: 

I have read the foregoing document and understarid that it is an 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 SignaturejVXUv-^^^ iTlVVi^^J ^ Date^";j,g^- ^ Q Q 

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

Douglas County, Nebraska Property Record - R2547000600 

Print Report 

Parcel Dimensions available e scale 0-50 ft west of 144 St - VJeW OH MaO Information is valid as of 2008-5-19 Treasurer's Tax Report 

New Feature -•->- • Auto Sales Search. 

Owner 

f\/ICNEIL JANYCE 

3370 PATRICK AVE 

OMAHA NE 68111-0000 

Property Information 

Key Numtter: 4700 0000 25 

Account Type: Residential 

Parcel Number: 2547000000 

Parcel Address: 3370 PATRICK AV 

OMAHA NE 68111-0000 

Legal Description: YALE PLACE LOT 99 BLOCK 0 40 X 119.5 

Value Informatio n 

2008 

2007 

2006 

2005 

2004 

2003 

Land 

$2,300.00 

$2,300.00 

$2,300.00 

$2,300.00 

$2,300.00 

$2,300.00 

Improvement 

$49,400.00 

$49,400.00 

$49,400.00 

$49,400.00 

$10,200.00 

$10,200.00 

Total 

$51,700.00 

$51,700.00 

$51,700.00 

$51,700.00 

$12;500.00 

$12,500.00 

Sales Informatio n 

Sales Date: 2004-02-23 

Deed Type: 

Price: 

QC 

$1.00 

Book: 2004 Page: 025031 

Grantor: TOMMY MOORE 

Grantee: JANYCE MC NEIL 

Valid/Invalid: Invalid 

Exclusion Reason: Family Sale 

Land Informatio n 

Acres 

0.1 

SF 

4760.0 

Units 

1.0 

Depth 

119.0 

Width 

40.0 

Vacant 

No 

Improvemen t Informatio n 

httn://doupla.<!ne.mannina-nnlinp. rnm/r^ni]fxla.sCnNft/.'!tflti<?/flrrniinfiTifn ier>'>'>r'f-nnntr,n.—onf:A /c/c/inno 
Douglas County Account Information Page 2 of 2 

Building 1 

» 7 0 PATRICK AV 

Second FiDorp 

First Row 455.0 ;•; 0. I -" 

796.0 58 «. 

l,~J«BlU 

1 1/2 STORY Bsivrt aiKk B n 

7!lli&u) It 

CLICK TO ENLARGE IMAGE 

Square Footage: 1251.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Fair 

Built As: 1 1/2 Story Unfin Condo Square Footage: 0.0 

HVAC: Central Air to Air Rooms: 4.0 

Exterior: Frame Aluminum Units: 1.0 

Interior: Drywall Baths: 1.5 

Roof Cover: Composition Shingle Bedrooms: 2.0 

Roof Type: Gable Stories: 1.5 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Percent Adjusted Year Year Built Physical Age Remodeled Remodeled Built 

1920 0 0% 1920 88 

Oefa/7 Type Detail Description Units 

Appliance Allowance 1.0 

Appliance Fireplace Metal 1.0 

Appliance Security System 1.0 

Basement Bsmnt Block 8 ft 796.0 

Fixture Additional Fixtures 1.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Fixture Bath Half 1.0 

Garage Detached 224,0 

Porch End Screen 192.0 

Porch StnA'ile Patio 192.0 

http://doug]a.sne.manr)inp-nnline.cmn/Dniip]3sCnNe/st,qtir/:irronnt!nfn i-;n^nrpnnnh-in-P9';ji ^/g;/">nng 
0 

Parcel Search Page 1 of 1 

Results 1 - 1 of 1 

B 1^ Parcels 

^ MCNEIL 3ANYCE 

3370 PATRICK AV 

2547000000 ^ 

MCNEIL JANYCE 

3370 PATRICK AV 

OMAHA 

68111 

3370 PATRICK AVE 

OMAHA 

NE 

68111 

09-15-13 

YALE PLACE 

0 

,99 

40X119.5 

Treasurer Information 

Valuation Information 

Parcel ID 

Owner Name 

Property Address 

City 

Zip 

Owner Address . 

Owner Address 2 

Owner City 

Owner State 

Owner Zip 

Sec-Twn-Rng 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Treasurer Website Link 

Assessor Website Link 

htto://www.doeis.ore/doeis alias/doeis/parcelSearch.aspx?ffovU.<!er=fal.<!eA:vfllidTTsP!r=ffll.<!P f^i'^nnna