Transmittal of Oniaha Lead Site 

Paint Stabilization File Folder 

Said# ^-/^-^ ^ ^^^OX - Date: 

Address: 33^2 - UJ«^6-^C^ S t 

Contractor: CityofOmaha Year: P-^'= ? 

Paint Stabilization 

Property File Folder Documents 

j/wor k Write Up 

t<^Signed Access Agreement for subject property 

Pre-Renovation form signed by Property Owner 

Pre-RenovationForm for Occupant/Tenant, ifapplicable 

l^^?a.\ntmR Agreement/City of Omaha Purchase Order 

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

Renovation Recordkeeping Checklist signed by Certified Renovator 

J ^ Property informationfrom Douglas County Assessor's Office 

^ Other (describe): I jloh'i 

I o-^^ t^--^-^ 3^/j-^ / 

City of Oitiaha Representative Signature Date 

-tJcvi 

EPA Representative Signature Date 

30262441 

•iimiiii 

Superfund 
Jun, 25. 2009 12:33PM 

No. 6649 P. 2 

Planning Department 

Inspector: Tom Roza Omihi/DoiiglM Cii-ic Center 

1819 PatnMA Succt, Suite 1003 Pate; 6/18/09 OnMha,Ncbnsl(a68lB3 

(402) W-5150 

Telefiu (402) 546-0714 Name: Ivan Anderson 

SMv«n N. Jcmcn. AICP, LA. CilyofOmah* 

Address: 3322 Webster SU'eet Director Jim Sntili!, Mayor 

OMAHA EXTERIOR PAINT STABILIZATION PROGRAM 

FOR THE EPA OMAHA LEAD SITE 

The Contract bid documents consist ofthe following sections; 

• General Responsibilities for the Contractor and Occupant, 

• Lead Mazard Control Plan, Interim Control of Lead Oased Paint Hazards, 

The Contractor Sliall: 

• Comply with HUD's "Guidelines for the Evaluation and Control of Lead-Based 

Paint Hazards in Housing." (Copies arc available at the Planning Department.) 

• Comply with Standards called for in tlie "Construction and Rehabilitation 

Specifications, Housing and Community Development Division, City of Omaha, 

Nebraska." (Copies are available at the Planning Department.) 

• Comply with the State ofNebraska Health and Human Services Regulation and 

Licensure, Title 178 Chapter 23 Lead Base Paint Regidaiions. 

« Coordinate daily construction schedule with the occupant 

• Submit information cut slieets for all substitutions or approved equals prior to 

written approval ofthe Constmction Specialist. 

• Repair or replace all items damaged or disturbed dunng paint stabilization 

activities. 

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

or rubbisli caused by the work at all times. 

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

and etc., that is connected with the work, and leave ali parts of the work areas in a 

neai, sanitary, lead safe and presentable condition. 

• Complete this project within 30 calendar days. 

Tlie Occupant/Owner Shall 

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

to be remediated. 

• Provide access to electricity and water throughout the painl stabilization process. 

• 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 limes until the work has been 

completed and the area has passed a visual inspection. I _ 

hiitiais \I^J \ 
Jun, 25. 2009 12:33PM

 No. 6649 

3322 Webster St (continued) 

Lead Hazard Control Plan 

Interim Control of Lead based Paint Hazards 

Paint Stabilization 

• House: Prepare and paint ALL previously painted WOOD AND 

STUCCO sarfacea ^ INCLUDE FOUNDATION WINDOWS/TRIM. 

« DO NOT FAINT WINDOWS AND DOORS except as stated above. 

• All paint colors to match existing paint pattern. Prime bare areas 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 follows 

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

• Clean paint chipsfrom ground around perimeter of dwelling before 

starting, during and after the project. 

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

daily unless otherwise approved by the construction specialist. 

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

iinicipal solid waste landfill. 

r,l7s-looi 

Date 

Property Owner Date 

Witness Date 

Occupant (ifapplicable) Date 

Occupant (ifapplicable) Date 

Witness Date 
Jun . 25. 200 9 12:33PM

 • No. 664 9 P. 4 

3322 Webster St (contmued) 

Exterior Lead-based Paint Stabilization Program Managed by the City of 

Omaha for EPA Region 7 

Omaha Lead Site 

th e puipose 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 treated. 

• Windows or doors will not be mcluded. 

• Rotten wood will not be replaced. 

• No housing repair will be done. 

Who will perform tiie 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 end will continue for several years. 

• The City staff will prioritize homes based on the presence ofchildren under age 

six if known and the severity ofthe problem. 

Paint Stabilization is voluntaiy and will be done only with permission of the owner. 

hitials lUA 
Jun. 25. 2009 12:33PM 10.6649 P. 5 

Consent for Access to Property 

RIGHT OF ENTRY TO PREMISES 

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

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

certain environmental response activities upon the following described premises: 

Owner's Name: 

Daytime Phone: 

Owner Name(s): Ivan Anderson 

402-212-9848 

Addresses of Properties Covered by this Agreement 

Pioperty Address 

City/State/Zip Code ] 

^322 Webster St. 

Omaha, NE 68131 . , j 

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

Environmental Response and Liabilitv Act rCERCLA'). 42 USC. fc 9601-9673. or anv other law. 

PURPOSE OF ACCESS 

The purpose of the response action is to stabilize loose or flaking exterior lead-based painl on 

residential properties, including day-care facilities, where remediation pf lead contaminated soil has 

or will take place. Sampling of soil may be conducted. This consent shall allow Grantee onto 

Grantor's property and fijtther, provides the Grantee the right to perfonn any and all environmental 

response actions and activities it deems appropriate. 

ENVIRONMENTAL RESPONSE ACTIONS 

The environmental response actions to be performed on subject propeity 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. Obtaming samples from Grantor's property. 

I^A 
Jun.-25 . 2009 12:33PM

 No. 664 9 P. 6 

Address: 3322 Webster St. 

Consent fbr Access to Propertv fPape 2) 

3. Planning and implementing the response action on the Grantor's property, This will mclude 

1) removal of loose or flaking pauit 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. 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 interiere with any of the activities undertaken by Grantee at the Propeity, 

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 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 ofthe property or any portion of 

it. Grantor agrees to provide 30-day notice to EPA prior to any transfer of ownership rights lo the 

property. 

SAMPLING RESULTS 

Grantee agrees to provide Grantor with the results of any and all sampling and/or analysis resulting 

firom Grantee's response activities on the property. 

PRIOR CONDITIONS AGREEMENT 

The grantor agrees to the condition ofthe property prior to remediation and indicates on Page 3 any 

items to be removed by the Grantor before activities commence. 

RESTORATION OF PROPERTY 

Except fbr 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. 

IL-A 
Jun. 25. 2009 12:33PM No. 6649 • P. 1 

Address: 3322 Webster St., Omaha. NE, 68131 

CURRENT CONDITION/ PROPOSED RESPONSE ACTTVITIES 

The puipose of this section is to provide a mutual agreement as to conditions of property prior to 

contractor activities. This will also serve as documeniation for the puipose 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 property ovmer 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 understand that it is an agreement granting pennission to 

the Grantee to enter the above described premises for the puipose 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; _^^5yO^ ^ Datc^j^T ^ 
Douglas County .'\ccouiit Information htl:p:/./douglasne.mapping-online.coin/Dougla.sCoNe.'siatic/accoiintinr6.. 

Douglas County, Nebraska Property Record ^ R1938970000 

Print Report 

View Interactive GIS Mao Information is valid as pf 2012-2-28 

Treasurer's Tax Repoct 

New Feature -*•*- » Subdivision Sales Search 

Owne r 

ANDERSON IVAN 

3322 WEBSTER ST 

OMAHA NE 68131-0000 

Property Information 

Keyh lumber- 3897 0000 19 

Accoui It Type: Residential 

Parcel Alumber 1938970000 

Parcel A ddress: '3322 WEBSTER ST 

OMAHA NE 68131-0000 

Legal Description: PARK PLAGE LOT 7 BLOCK 2 E 42.5 N 159.25 S 189.25 FT 42.5 X 159.25 

Value Informatio n 

Land Improvement Total 

2011 $6,500.00 $92,600.00 $99.1.00.00 

2010 $6,500.00 $92,600.00 $99,100.00 

2009 $6,500.00 $96,900.00' $103,400.00 

2008 $6,500.00 $96,900.00 $103,400.00 

2007 $6,500.00 $90,500.00 $97,000.00 

2006 $6,500.00 $90,500.00 $97,000.00 

Sales Inforniatio n 

Sales Date: 

Deed Type: 

Price: 

Grantor: 

Grantee: 

Valld/lnvalld: 

Exclusion Reason: 

Sales Date: 

Deed Type: 

Price: 

Grantor: 

Grantee: 

Valid/Invalid: 

2006-09-15 

WD Book: 2006 Page: 107539 

$105,000.00 

Bruch Lori A etal 

Anderson Ivan 

Valid 

1999-05-10 . 

D Socle 2122 Page: 120 

$65,000.00 

Valid 

1 of4 3/14./20I2 11:00 AM 
Douglas County Account Inrormation hltp://douglasne.niapping-online.convDouglasCoNe/sliitic.'accoiintinro.... 

Exclusion Reason: \ 

SalesDate: \ 1998-08-31 

Deed Type: D Book: 2100 Page: \ 246 

Price: \ $40,000.00 

Grantor: \ 

Grantee: '• 

Valid/lnvalid: Valid 

Exclusion Reason: 

Sales Date: 1993-04-19 

Deed Type: \ D Book: ; 1958 Page: : 002 

Price: I $46,000.00 

Grantor: 

Grantee: 

Valid/Invalid: Valid 

Exclusion Reason: 

Land Informatio n 

.Acres SF Units Depth Width Vacant 

0.15 6837.0 1.0 159.0 43.0 No 

Improvemen t Informatio n 

Building 1 

2 1/2 Storf Unfai 3322 Wabstet a 

r" wo. 

• 

1-

CLICK TO ENLARGE IMAGE «^4ll lp JQV h.'VtHA-» 

CUCK TO ENIJVRGE IMAGE 

Square Footage: 2026.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Average 

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

HVAC: Central Air to Air Rooms: 9.0 

Exterior: Frame Siding Units: 1.0 

Interior: Drywall Baths: 2.0 

2 of 4 3/14/2012 11:00 AM 
Douglas County ,A.ccouiit Infonnation http://douglasne.mapping-onIine.coin/Doiigla.sCoNe/siatic/accoiintinro.. 

Roof Cover: Composition Shingle Bedrooms: ..5.0 

Roof Type: Hip Stories: 2.5 

Floorcover: 

YearBo/7f 

Allowance 

Year 

Remodeled 

: 

Percent 

Remodeled 

: Foundation: 

Sprinkler Square Footage: 

Adjusted Year 

Built Physical Age 

1 

1920 0 0% 1920 91 

Detail Type Oefa/7 Description Units 

Appliance Allowance 1.0 

Appliance . Fireplace Masonry 1.0 

Basement Bsmnt Block 8 ft 852.0 

Fixture Additional Fixtures 1.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 2.0 

Garage Detached 216.0 

Porch Slab Roof Ceiling 152.0 

Porch Slab Roof Ceilirig 36.0 

3or4 3/I4./2012 11:00 AM 
CITY OF OMAHA 

PURCHASING - ROO.M 1003 Purchase Order. 

•

1819 FARNAM STREET 

 OMAHA. NE 68183-1003 

FAXi¥ 402-444-5423 

PURCHASE ORDER NO. 

1159088 

SHIP TO: 

CITY OF OMAHA 

HOUSING & COMM DEV RM #1111 

1819 FARNAM STREET 

OMAHA.NE 68183 

VENDOR:- GB ENVIRONMENTAL SERVICES LLC 

4302 MAPLE ST' 

OMAHA. NE 68111 

kBILL TO: 

CITY OF OMAHA FINANCE 

DISBURSEMENTS ROOM #1007 

1819 FARNAM STREET 

OMAHA.NE 68183 , 

• < 

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

CUSTOMER ACCOUNT NO. VENDOR NO: DATEOF ORDER/ BUYER REVISED DATE//BUYER 

81416 20-JUL-09 P BURKE 21-JUL-09 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 NOTI CE IS ISSUED BV THE PLANNING 

DEPARTMENT - PER GROUP 47 BID DATED 7/15/09 


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


NEEDED: 2,300.0 0 N 

19-JUL-0 9 

EPA PAINT STABILIZATION 


PROGRAM - GROUP 47 -
 3322-WEBSTER ST 


O SHIP TO: 


Address at top of page 


_. 

SHIPTO: ' Address shown above. If shipment Is delayed or any items not available, advls'eat once. Purchase order number must appear on all Invoices, packages, packing lists, bill of lading, and correspondence. 

SHIPPING CHARGES 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 ol 

Omaha Sales Taxes. Federal I.D. 476006304; STATEI.D. 01-0316768; Fuel Dealers Lie. 91-0316768.