TRANSMITTAL of OMAHA LEAD SITE 

PAINT STABILIZATION FILE FOLDER 

SAID #: (0?SrSUM Date: ^j ^ Da 

Address: 

Remediation Contractor: PROFESSIONAL ENVIRONMENTAL ENGINEERS Year: 2009 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

y JfXdQO ofproperty (DVD) pr^ 

Xy^ Executive Summary 

Signed Access Agreement for subject property 

y Painting Agreement 

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

Photographs A/^^Y ^ 

y Satisfactory restoration signed by Property Owner 

D Property close-out check list signed by EPA 

y Property information from Douglas County Assessor's Office 

s y confirmation that lead pamphlet "Renovate Right" was received by P0_ 

u 

D 30203859 

D Superfund 

Profession^Environmental Engineers Signature 

Ignatur

Zi^./l'-.Jt^Ja^Ttls^

e — ^4k/^ 
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 

2009 

SAID# 63564 

2456 Fontenelle Blvd. 

• Dates worked: 07/15 to 07/16 2009 

•

 Pre property condition: House had brick and wood siding with flaking and chipping 

paint, wood porch floors and trim area was all in poor condition. Garage is all wood 

and prior paint was in poor condition. Paint chips in yard. 

• Problems encountered: N/A. 

• Owner request/concerns: Owner did comment about the poly killing her grass, but was 

not concerned because her grass will be replaced. 

• Inspection/closeout dates. Owner signed 07/26 2009. Inspected by PE project manager. 
07/27/2009 MOM 8:43 P M 

SIOOl/002 

PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC. 

"Providing co9t-&ffective environmental solutions" 

CwMuSliv • EngVteaitnQ Oaslgn • Remedotlon • Abaii«inent • Errwrgancy R«spanB» 

Property Owner Closc-Out Form 

(Lead-Baaed Paint Stabilization EPA Conuact EP-R7-08-06) 

SAID: (o^&ro M ^ ;_ - .. , ^_, ^ 

Owner'sName: i\g>n \M'>\^ams>. 

Performance Standard^/Cloae-Ottt Criteria 

2505 Noitti24% Suite 210 

Omaha, NE 68110 

(402) 604-4688 

1^(402)504-3281 

YES NO 

1. Was Ae entire structure(s) painted wiih the exception of the stated, excluded 

areas? This would include painting ofother associated features including &scia, 

eaves, siding, all trim, porches, box beams, columns* rails, and extorior sur&ces of y 

2. Waa all sciaping and otiher preparation work complied aatisfectorily? WQLJft 

3. Were oil requited areas ofthe stnicture(s) primed as needed and painted widi 

tWDlPpwttta? 

4. Was tbe paint pioducts utilized equivalent to a 30 year product/quality? Ofl(30f6 

5. Aie BU of the areas where contaminated materials have been sfAlUA thomu^ y 

vacuumed/ cleaned? / 

6. Did the conuactor collect/vacuum all falling and scraped paint chips on the 

entire prepeity, roadways, alleyways, public access areas and also remove any 

other gcaetated debris? s/ 

7. la the grass area that auirounds the structure(5) in fcasonably good cggdidon? 

8. Are all items «uch as polyethylene sheeting, ladders, paint Imishes, cones, 

banier tye , etc. properiy removed? / 

9. Is there any evidence ofproperty damage that was done by the contractor? Any 

property damage needs to be completed prior to the EPA Close-Out. 1 / 

10. Are There any property items that were temporarily re-located by the contnctor 

that peed to be roowd back? • 

n . Are there any Omown) lingering issues with the property owner(3) diat have 

been left unresolved? 

y 

y 

Speity Owner Signature Date 

ProfesstoiuU Envjjitaental Engineers Representative Date 
21001/002 

.07/13/200 9 MON 12:0 4 FAX 

CONSENT FOR ACCESS TO PROPERTY " 

OMAHA LEAD SITE REMEDLIL ACTION - LEAIMIASE]) PAINT STABILIZATION 

PROPERTY ED: G:^SG* i PROPERTY ADDRESS: jlMb^Q hOA-j^j^ . Y^^6 

OWNERNAME: ^(^^ ^ {MottS-- »ATM«ETM0».:J/^dilM_M) 

CELLrHO^fE1=: l/^^-4Ml(^ EJ>iAn., |<atCat1®aoi.u>^ 

OWNER'S ADDRESS IF DIFFERENT: 

TENANT'S NAME IF APPLICABLE: 

DAYTIME PHONE: 

CEixnaoNE : -— E-MAIL: 

Frofiisskiiial Envtranmeatal Engiaeen, luu. (PE) is under cootraet (iV£P-R?<08-0ti) with the UJS. Envirounental Protection 

A^ncy (EPA) to stabilize lead based paint (LBEO oo residential structure* at a aumber of properties located ID Omaha, 

Nebnulu. The paiot gtabilizatioti work is being done to protect the noil cleanapit that are being performed by EPA cootractons. 

Paint stabilization activiUes will include: scraping of cracked or flaking LBP (rom fltructures, application of a prime coat and two 

(2) coats of paint Moving parts of whidows and doors are not inchided and wDI not be addressed. 

Your cooperatton Is requested in giving penaissiaii to this EPA contractor (FE) to enter and have aeeess to this property for the 

purpose of stabilizing lead -based paint as outlined on tbe propert)" Identified above. 

By signing tbis documuit I agree to allow an EPA contractor to conduct a soil cleanup at my property following cotnpletioii of 

lead-based paint vtabiUzation, ifthe soil cleannp has not already been performed. I underirtaiid tbat tlie stablGaation contractor 

can not provide ussurances tbat tbe soil cfeanup contractor will be bonnd to. I furttier ondentaBd that the soil cleanup 

contractor will make alt reasonable eiforts to address concerns that I, as the property owner> may have regardfaig soil deanup at 

my proper^. 

^Yes , I have read and undetetand the paragnph dMve. 

SiEpiBlore of Preperty Owner Dite 

I Ailly understand that by signing this Consent for Access, (1) this access win remain in effect nntU the work has been 

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

(HUD) and EPA pamphlet, "Renovate Right, Important Lead Hazard mfbrmatlan fiir F^iile* , Day Care Provider*, and 

Schools", (3) the Property Owner or tenant will remove all obstructions from sarfaou (o be painted, (4) wIB abUe by health and 

safety guidance provided by EPA, (5) wiD allow photography of property before and after the paint stabilisation work, (ti) wiU be 

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

any of the LBP stabilizAtian actions, and (8) wiU participate in final property inspection and dg n the Completion Agreement and 

Property Owner Satisfisetioa Sarvey, 

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

Professional Environmental Engineers, Inc. Project Manager, Willie Qa y At 402-Sft4-4<M. General questtons about the Omaha 

Lead Site cleanup can be directed to Pauletta France-Isetts, EPA Remedial Project Manager 402-731-24S4, or the EPA Pttblie 

Information Centers a t 402-991-9583 (Nortii Omaha ofDee) or 402-731'3043 (South Omaha oflice). 

M Yes, I grant access to ny propeity and w a givm the pamphlet D No, I do not grant acc8H to my propeity and I vns 

''^novate RIgM, loftpoitant Lead InAxmatlonfor Famffiss, Child ghmn the pamphlat 'Tieoavsla i^ht, Important Lead 

Care PnnldBra, spd Schools.* InfonnaSon (br Famllfas, Chllde Caie PRnlders, and Sehoote." 

signature I Dais Signahin Dits 

SPECIAL^NSTRUCTUNS AND CONSIDERATIONS 

8900Te9fTe ie--i0 zmzm/n 

Sa33MI9N3 aiAN3 joad E0/Z0 39yd 
)02/002 


07/13/2009 HON 12:05 FAX 


wjff 

pmm mmm kmmmEm 

. ^Ma^ ^\fM\e . RWA 

AiaA(S)ioBiVMiimis 

QntiiR 5^m6 Qs Ct^ry^t CDIP/­

HOUSiTRIN 4^s OMJiR \S^/ng- Q5 ^:<;(r^r ^/g r . 

CMRM^ U^6 cDUMi "^ir^p Q i COitejii .nnjry 

wurnvKm^Am. aauDKL m m dii rA)f(t/^ color 

x: 

\ ^ CDUaL ^fn e /}.<. COr m ODbr 

MncH-mmL^J ^ SQm Oi6 Ci/m^ coir 

CQOMHiraJIUaBCIlO^r voir NC^rORNOIHUmaMBIQ 

IMIIEETOTHE COIMS USnO ABOVE. ONCi PA^ ^ 

UNDSISTMiD ICMI NOT GHAMGE THE iWlim SBfiCn^ 

89001ES1;T£ ^£'-T0 Z802/e0/TT 


Sa33NI9H3 aiANB JGfeU 


E9/E0 39yd 

Douglas County Account Information Page 1 of3 

la36U4 

Douglas County, Nebraska Property Record - R0812070000 

Print Report 

NEW Feature - Parcel Dimensions available @ scale 0-50 ft west of 52nd St - VJOW OH Ma P Information is valid as of 2009-6-16 Treasurer's Tax Report 

New Feature •*-•- > Auto Sales Search 

Owner 

WILLIAMS KATHLEEN M 

2456 FONTENELLE BLVD 

OMAHA NE 68104-0000 551" ^UUS 

Property Informatio n 

Key Number 1207 0000 08 

Account Type: Residential 

Parcel Number 0812070000 

Parcel Address: 2456 FONTENELLE BD 03 - Lc'^OD l>^ 

OMAHA NE 68104-0000 

Legal Description: CLAIRMONT LOT 1 BLOCK 6 50 X 125 

Value Informatio n 

Land Improvement Total 

2009 $6,400.00 $45,400.00 $51,800.00 

2008 $6,400.00 $45,400.00 $51,800.00 

2007 $6,400.00 $45,400.00 $51,800.00 

2006 $6,400.00 $45,400.00 $51,800.00 

2005 $6,400.00 $76,800.00 $83,200.00 

2004 $6,400.00 $69,800.00 $76,200.00 

Sales Informatio n 

Sales Date: 2007-07-25 

Deed Type: WD Book: 2007 Page: \ 085617 

Price: $108,210.00 

Grantor Walker Clettis R etal 

Grantee: Williams Kathleen M 

Valid/Invalid: Valid - • • - -

Exclusion Reason: 

Sales Date: 1994-10-25 

Deed Type: D Book: 1996 Page: 164 

Price: $64,900.00 ...... .. . - ­ - Grantor 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accoimtno=R081... 7/9/2009 
Douglas County Account Information Page 2 of 3 

Grantee: 

Valid/Invalid: Valid 

Exclusion Reason: 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.15 6534.0 1.0 0,0 0.0 No 

Improvemen t Informatio n 

Building 1 

<^<i.*' 

MS*f=<:«n&e.i.€eo 

i*'i1J!? Si ' 

»<!• S50.D »!(, it I ' ^SO.Q «(i It. 

» 0 5H<> 

CLICK TO ENLARGE IIVIAGE 

Square Footage: \ 1100.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Average 

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

HVAC: Forced Air Rooms: 7.0 

Exterior: Frame Siding Units: 1.0 

Interior: Drywall Baths: 1.0 

Roof Cover: Composition Shingle Bedrooms: 3.0 

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 

1922 

0 0% 1922 87 

DeU/il Type Detail Description Units 

Add On Fence Chain Link 1.0 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 550.0 

Basement Minimal Finish 152.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R081... 7/9/2009