Transmittal of Oniaha Lead Site 

Paint Stabilization File Folder 

Said# 7^9-^? 3 Date: 7^7^-70 

Address: S"3> ^ 3 . ^.6^ A u 

Confractor: Citv of Omaha Year: ^~^ ft) 

Paint Stabilization 

Property File Folder Documents 

_!xMVork Write Up 

Xy^ Signed Access Agreement for subject property 

Pre-Renovation form signed by Property Owner 

Pre-Renovation Form for Occupant/Tenant, ifapplicable 

L-^ainting Agreement/City of Omaha Purchase Order 

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

Renovation Recordkeeping Checklist signed by Certified Renovator 

t—Property information from Douglas County Assessor's Office 

JL;: Other (describe): \\\^<\t)*^ 

^ y PftiVrh /ksPSSrhtl\t /icot^S /^/'.e^^^/T ^ 

City of Omaha Rej^resentativCjSignatur Represer e Date 

D ^ 

EPA Representative Signature / Date 

30262472 mil 

Superfund 
CITY OF OMAHA 

PURCHASING - ROOM. 1003 Purchase Order 

1819 FARNAM STREET 

OMAHA, NE 68183-1003 

FAX# 402-444-5423 

PURCHASE ORDER NO. 

1165622 

REVISION 

0 

PAGE•

1 

1 

7 

SHIP TO: • 

CITY OF OMAHA 

HOUSING & COMM DEV RM #1111 

1819 FARNAM STREET 

0MAHA,NE 68183 

VENDOR: RACEWAY PAINTING 

JOSE MARIO RAMIREZ 

4967S86THPKVVY#8 

OMAHA, NE 68127-2678 

> 

BILL TO: 

CITY OF OMAHA FINANCE 

DISBURSEMENTS ROOM #1007 

1819 FARNAM STREET. 

OMAHA,NE 68183 

.. . J 

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

CUSTOMER ACCOUNT NO. VENDOR NO. 

93118 

DATE OF ORDER/ BUYER 

07-MAY-10 H HURT 

REVISED DATE//BUYER 

PAYMENT TERMS SHIP VIA F.O.B. 

IMMEDIATE • DESTINATION 

FREIGHTTERMS REQUESTOR/DELIVER TO CONFIRM TO / TELEPHONE 

V 

ITEM PART NUMBER / DESCRIPTION 

MARUCA, T MARIE 

DELIVERY DATE QUANTITY UNrT UNIT PRICE EXTENSION < 

All.prices and amounts on this order are express 2d in : US Dollar 

NEEDED: 7,475.0. 0 N 

09-MAY-lO 

EPA PAINT STABILIZATIOtJ 

PROGRAM GROUP 104 1115; 

S 030 AV, 506 S BOTH 

ST, 532 S 26 AV, ' 719 Si 


37TH ST, AND 818 S 30 " 


ST 


O SHIP TO: 


Address at top of page 


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

chase order nurnber must appear on all invoices, packages, packing lists, bill of lading, and correspondence. Tota 7,475.00 

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

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.D. 476006304; STATE I.D. 01-0316768; Fuel Dealers Uc. 91-0316768. 

3 
Planning Department 

• Omaha/Douglas Civic Center 

Inspector: Stev e Zivn y I8I9 Famam Street. Suite 1003 

r»n*«». nnni m Omaha, Nebraska 68183 

Date . 2/17/1 0 (402) 444-5150 

Telefax (402) 546-0714 

Name : Vandelay InvestmentR-felcGiningham, RA, F.SAME 

CityofOmaha AJ J co' ^ o r%jrth A Director 

Jimsutue,Mayor Addressi 532 S 26 Ave 

OMAH A EXTERIO R PAIN T STABILIZATIO N PROGRA M 

F O R TH E EP A OMAH A LEA D SITE 

The Contract bid documents consist ofthe following sections: 

• General Responsibilities for the Confractor and Occupant. 

• Lead Hazard Control Plan, Interi m 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 Plarming Department.) 

• Comply wilh 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 ofthe Construction Specialist. 

. • Repair or replace all items damaged or disturbed during pairit stabilization 

activities.. 

• Keep work site and surrounding area free from accumulations of waste materials 

or rubbish caused by the work at all times. 

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

and etc., that is cormected. with the work, and leave all parts ofthe work areas in a 

neat, sanitary, lead safe and presentable condition. 

• Coinplete this project within 30 calendar-days. 

The Occupant/Owner Shall 

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

to be remediated. 

^rnv4dfi aqces.s tn electciekv-dlld-WULtir LhrnUfJlUIUL Lliu painl .^LahiliT^tiiin prnnffs. 

insure 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 beeii^ 

completed and the area has passed a visual inspection. 
532 S 26'" Ave (Continued) 

Lead Hazard Control Plan 

Interim Control of Lead based Paint Hazards 

Paint Stabilization 

• Stabilize all previously painted exterior wood, brick, metal or concrete 

surfaces ofthe dwelling to include but not limited to the siding, fascia^ 

eaves, trim, window trim, shutters, gutters, railings, downspouts, door trim 

and foundation. DO NOT INCLUDE WINDOWS OR MAN DOORS. 

INCLUDE STUCCO ON TOP FLOOR STREET SIDE. 

• Prepare and paint all previously painted surfaces by following the Safe 

Work Practices protocol for EPA exterior lead based paint stabilization. 

• All paint colors to match existing paint pattem, Prime and apply two 

coats of approved finish coat. (Refer to Planning Dept. approved paint 

list). 

• IF SPRAYED, ONE COAT SHALL BE BACK-BRUSHED OR 

BACK-ROLLED. 

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 chipsfrom ground around perimeter pf dwelling before 

starting, during and after the project. 

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

daily unless otherwise approved by the consfruction specialist. 

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

solid waste landfill. 

2 ^ 

Date 

Property Owner / Date 

Witness 

Date 

Occupant (ifapplicable) 

Date 

Occupant (if applicable) 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 re-contaminated 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 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 freated. 

• 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 ofchildren under age 

six ifknown and the severity ofthe problem. 

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

Initials 
Consent for Access to Property 

RIGHT OF ENTRY TO PREMISES 

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

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 Name(s): Vandelay Investments LLC 402-826-9393 

Addresses of Properties Covered by this Agreement 

Property Address City/State/Zip Code 

532 S. 26th Ave. Omaha, NE 68105 

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

Environmental Response and Liabilitv Act fCERCLAl 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 fiirtheri 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. 

2/12/2007 (1) 
Address: 532 S. 26th Ave. 

Consent for Access to Property (Page 2) 

3. Planning and implementing the resporise 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 

envirorunental 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 ofthe Property which 

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

such marmer 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 tp EPA prior to any fransfer 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 resporise activities on the property. 

PRIOR CONDITIONS AGREEMENT 

The grantor agrees to the condition ofthe property prior to remediation and indicates bn 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 origirial state and condition as found immediately preceding the 

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

activities. 

2/12/2007 (2) 
Address: 532 S. 26th Ave., Omaha, NE, 68105 

CURRENT CONDITION / PROPOSED RESPONSE ACTIVITIES 

The purpose of this section is to provide a mutual agreeriient as to conditions of property prior to 

confractor activities. This will also serve as documentation for the purpose of assuring that 

restoration activities are completed to the satisfaction of the property owner and the United States 

Environmental Protection Agency (EPA). 

Items to be removed bv propertv ov/ner prior to the response activities: 

1. 

^ X ^ 

2. 

3. 

4.. 

5. 

Items NOT to be removed bv confractor during renioval activities: 

1.-

-h^ 2. 

3. 

4. 

5. 

ADDITIONAL COMMENTS: 

.41^ : 

(^j^IvCiaVKC^Uv- qx> pyoV\<A-*--' V>JoX^Ux .*--gJCcg^j^r-Jo'T'-A 

I have read the foregoing document and understand 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. I acknowledge that I have received the 

pamphlet!'Renovate Right". 

Grantor's Signature: -^— . I ^ji^-^^ Date B-ST'/E?. ' \if<f-' — — •• 

2/12/2007 (3) 
Douglas County Account Information Page 1 of3 

Douglas County, Nebraska Property Record - R0814150000 

Print Report 

NEW Feature - Parcel Dimensions available (^ scale 0-50 ft west of 52nd St - ViS W O n IMa p Information is valid as of 2009-12-31 Treasurer's Tax Report 

New Feature ->-»- > Auto Sales Search 

Owner 

VANDELAY INVESTMENTS LLC 

PO BOX 6303 

LINCOLN NE 68506-0000 

Property Informatio n 

Key Number: 1415 0000 08 

Account Type: Multiple Res 

Parcel Number: 0814150000 

Parcel Address: 532 S 26 AV 

OMAHA NE 68105-0000 

Legal Description: CLARKS ST MARYS AVE LOT 30 BLOCK 0 S 1/2 E 1/2 32 X 64 

Value Informatio n 

Land Improvement Total 

2009 $3,800.00 $42,200.00 $46,000.00 

2008 $3,800.00 $42,200.00 $46,000.00 

2007 $3,800.00 $42,200.00 $46,000.00 

2006 $3,800.00 $39,300.00 $43,100.00 

2005 $3,800.00 .$39,300.00 $43,100.00 

2004 $3,800.00 $39,300.00 $43,100.00 

Sales Informatio n 

Sales Date: 2009-09-16 

Deed Type: QC Book: 2009 Page: 110080 

Price: $0.00 

Grantor: RITTS LEONARD R ETAL 

Grantee: VANDELAY INVESTMENTS LL C 

Valld/lnvalld: Invalid 

Exclusion Reason: 

Sales Date: 2009-06-17 

Deed Type: DE Book: 2009 Page: 063361 

Price: $0.00 

Grantor" DOUGLAS COUNTY TREASURER 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R08... 1/25/2010 
Douglas County Account Information Page 2 of3 

Grantee:

Valid/Invalid:

Exclusion Reason:

 , VANDELAY INVESTMENTS LLC 

 | invalid 

 i ja x Sale 

Lan d Informatio n 

Acres 

0.04 

SF 

2048.0 

Units 

1.0 

Depth 

64.0 

Width 

32.0 

Vacant 

No 

Improvemen t

Building 1 

 Informatio n 

ftmRwr 

\

^4.. 

 49*6 Kl * 

ujJTwosSory 

CUCK TO ENLARGE IMAGE 

Square Footage:

Perimeter

Unit Type: 

 1853.0 

 0.0 

End 

Percent Complete:

Quality: 

Condition: 

 100.0% 

Fair 

Fair 

Built As: 2 Story Condo Square Footage: 0.0 

HVAC: Forced Air Rooms: 10.0 

Exterior: Frame Shingle Units: 2.0 

Interior: Drywall Baths: 2.0 

Roof Cover: Composition Shingle Bedrooms: 5.0 

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 

1888 0 0% 1888 

122 

Detail Type Detail Description Units 

Add On Stone Trim 100.0 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 939.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R08... 1/25/2010 
Douglas County Account Information Page 3 of3 

Basement 

Fixture 

Fixture 

Fixture 

Porch 

Porch 

Porch 

User 

User 

Finished 

Additional Fixtures 

Base Fixtures 

Bath Full 

EncI Solid Wall 

Slab Roof Ceiling 

Slab w/Steps 

2 UNIT CONVERSION 

code125tomodel 

300.0 

1.0 

1.0 

2.0 

24.0 

24.0 

40.0 

1.0 

1.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp ?accountao=R08... 1/25/2010 
llll l II 1 II 22683 

Omaha Lead Site 

Omaha, NE *' ^.^ , \ U.S. Environmental Protection Agency Region Vll 

Residential Yard Soils 

Remedial Design 

Lead Based Paint Assessments 

PROPERTY ACCES S (to be coinpleted by property owner) 

Para recibir esta forma en espanol, per favor Name Debbie Kring al 1-800-223-0425 

Black & Veatch Special Projects Corp. (BVSPC) is under contract with the U.S. Environmental Protection Agency (EPA) to 

assist in the determination of exterior paint condition and lead content at remediated within the Omaha, Nebraska area. 

Your cooperation is requested in giving EPA and EPA contractors permission to access your property for the purpose of 

paint sampling analysis. For further information contact the local EPA Public Information Center, 402-731-3045 or Debbie 

Kring at the Office of External Programs, 1-800-223-0425. 

Property Access Granted By 

(Please Print Narrie) 

(property Owner Signature) (date) 

NOTE: Granting permission DOES NOT necessarily imply your property wili sampled at tiiis time. 

PROPERTY INFORMATION 

(to be completed by resident and/or property owner - Please Print) 

Resident Name: Owner Occupied? L) Yes No 

Resident Address: 532 S 26 AV OMAHA NE 68105 

(CITY) (STATE) (ZIP) 

Owner Name: LEONARD R RITTS 

Owner address: 530 S 26 AVE, OMAHA, NE 68105 

Owner's telephone number - Home: 402-345-8790 Work: 

Age of home: 118 years Paint Condition: i < 10 ft'Deteriorated s 10 ft'Deteriorated 

General Description of Exterior Materials: 

(type of siding, and approxinnate % of exterior painted) 

Description of conditions which could contribute to paint deterioration: 

AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS 

The activities to be innplemented by EPA under this agreement are pursuant to Section 104 of CERCLA, 42 U.S.C. 9604, for "determining the need for 

response, or choosing or taking any response action under this title, or otherwise enforcing the provisions of this title." 

Access Attempts: 

First: '7 %l0( o ^'5 3 Second: ^/Q/ Q b //, ' S ^ Tl 

f\i7 

^'j j Black & Veatch Special Projects Corp. Rev LBP-1 4-1701.01 23