PROPERTY SUMMARY

 

Date: 10/22/2007 Omaha Lead Site Remedial Action Contract # EP-R7-07-06 Month of: October 

Property Address: 1811 Ohio St 

A. EXECUTIVE SUMMARY 

A.I Issues Encountered: None 

A.2 Issues Resolved: Re-Seed will occur in November on any dead spots to encourage spring growth. 

A.3 Unique Findings: 

A.4 Other Relevant Information : 

CONFIRMATION SAMPLING DATA/RESULTS: 

F2 - 170 @ 8" 

Bl-185@8" B2-146@8" 

El - 203 @ Scrape 

ATTACHMENTS 

1) Property sketch provided by EPA pursuant to contract specifications 

2) Signed Access Agreement including access agreements required for crossing other properties 

3) Pre-Excavation digital video clip/photographs 

4) Post-Excavation digital video clip/photographs 

5) Documentation - Completed Close-out Checklist 

6) As-Built sketch ­

i) Shall include final lead levels v) Legend 

ii) Contamination left behind areas vi) Contractor identification 

iii) Property address vii) Date 

iv) BVID number 

7) Other items to be included in the individual property file, if available, or obtained include: 

i) Pre-excavation agreement details (if any are made with the property owner) 

ii) Excavation digital video in MPEG, WMV (Windows Media Video) or SWF (Flash Player) format and/or 

photographs 

iii) Signed form verifying satisfactory restoration 

iv) Description of areas not meeting Interim ROD cleanup criteria. 

40284371 

Superfund 

TECHNOLOGIES, INC, 
Name: Pau/g 

Address: fflll <DA«t> S+ • 

Phone: 

Omaha Lead Site 

Site Sketch 

Date:

Time:

 6'- /fr­

 /£ 

North Arrow 

Team BVID# 

: LA 

XRF Code 1037 

T"»ie:p/H 

: \2-°( 

Sample Number Lead Concentration Confirmation Sample 

- 2* D 6 0 

K1C.ZC.fX.A­ ppm ^5/Yes 

NO 

No 

NO 

ppm No 

ppm 

ppm 

No 

NU a 

ppm D No D 

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•521 

Omaha Lead Site 46130 
OK.o

 

Name: Pavla. Larson Omaha Lead Site

Address: /8H 0Ait> S+ > Site Sketch

Phone: 

Team f~6# M3"j l?u) BVID# £.c>/>A/3

Sample Number Lead Concentration 

I f£i & <SCf> xA­ 2f( 0 t>0 L\~\£ Kr"" 

t

A

 RiC-ZC.PX-A ~ 2.306O 

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ppm 

5 

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2-10 bO 

 Date: 6'- Jfr-5- North Arrow 

 Time: /(7 •' V5" 

 XRFCode 1037 gwH: 12.1 

Confirmation Sample 

Pi Yes d No ^ 

^2 Yes CD No Ef 

^?/ Yes CD NO 13 

-SZYes CD MO CZ 

YPU g No QYes CD Nu CD 

Yeb CD No D 

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Omaha Lead Site 46130 
t to a How access to 

the prorSBrty in order to conduct 

environmental sampling and to 

remove lead-contaminated soil 

Prudent Technologies, lac. (Prudent) is under contract with file U. S. Environmental Protection Agency 

(EPA) to clean up lead- contaminated soils ata-numbeprifDfoperties located in Omaha, Nebraska, 

including file property located at _ /<%*/ Cs^^^jrjO_ . The EPA requests your 

permission to allow Prudent to perform a soil cleanup at mis property to remove lead- contaminated soil. 

By signing this form, me property owner grants permission to Prudent to perform activities related to me 

cleanup including soil sampling, removal of lead-contaminated soil, and restoration of me referenced 

property. After obtaining me owner's signature on mis form, Prudent Technologies, Inc. will contact the 

property owner (sad residents) within the next few weeks to coordinate performance the work 

If you have any questions about me soil cleanup planned for your property, please contact Prudent' s 

Administrative Clerk for me Omaha Lead Site cleanup, Ms. Cyudie Hinds at (402) 504-1004. General 

questions about me Omaha Lead Site cleanup can be directed to me EPA Public laforauation Centers at 

(402) 731-3045 (south Omaha office) or (402) 991-9583 (north Omaha office). 

Property Access Granted By: L-tyf £> -p // 

(Pl»a» PrintNsm») 

Property Owner Signature: SU ri^L* 

(Sigrntura) . J (Date) 

PROPERTY INFORMATION 

(To be completed by readeot and/or property owner - please print) 

RESIDENT NAI3E: !&,) La. Qenter 

RESIDENT ADDRESS: 

T 

ff= RENTAL.PROPERTY OWNED BY: 

OWNER-SBAELMG ADDRESS; 

OWNERS TELEPHONE NUMBER -HOHE: j%2i -3 WORK: I 

AGE OFHOHE7: YEARS. HOWUMG HAVE YOU LWED HE 

HAS THE EXTERIOR BEEN PAWTEDXJRCOVE RED WITH SIDWS'SWCE 1378? 

NUMBER OF OCCUPANTS UNDER? YEARS OLD: NUMBER OF OCCUPANTS 7 Y OLD AND OLDER 

NUQBER OF CHILDREN UNDER? YE ARS^D WHO PLAY M THE YARD FOR 5 HJttJRS OR MORE PER WEEK: 

COMfilEHTS OR SPECIAL BiSTRUCTtOHS: (LE. DOGS.ENTRY GATES.ETC} (^ru^fZfc ^j^^^ 

JLJ, 

AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS; The activities to be implemented by EPA under this 

agreement are pursuant to Section 104 ofCERCLA, 42 U.S.C. 9604. EPA'sright of access to the property is 

provided for in Section 104(e) ofCERCLA, 42 U.S. C y605(e), which provides entry tor "determining the need for 

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

title" 
. 

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EPA Property Close Out

 

Property #: 2<j66Q Property Address: /?// Ohm 

Date/Time: 10/32/0-7 Owner's Name: Pouin. Ltwsa* 

Quads Excavated: „„ Contractor Group Prudent Technologies 

Excavation General

 Yes No 

1. If necessary, were the correct quadrants) excavated and restored? i/ 

2. If necessary, were the correct areas of drip zone excavated and restored? ,/ 

Grading Sod and Vegetation Yes No 

1. Does the grading around the perimeter of the house in excavated areas generally slope away

 

from the house? t/ 

2. Has sod been laid in all areas that were excavated? y 3.

 Does the sod appear to be generally healthy and growing? (Only evaluate if inspected at a 30 

day time period) •/ 

4. Are sodded areas generally firm and evenly graded? s 

5. Are the joints between the sod strips generally tight? (Only evaluate if inspected at a 30 day 

time period) / 

6. Was the property graded such that water will not pool on the property? u/ 

7. Was damage to landscaping or plant materials avoided? i/ 

Gates, Fences and Retaining Walls Yes No 

1 . Do gates open and close freely? (If applicable) /

2. Were all gates or fences taken down during restoration activities reinstalled? (If applicable) «/

3. Was damage to gates or fences avoided? (If applicable) / 

4. Was damage to retaining walls avoided? (If applicable) I/ 

Foundation, Siding and Gutters Yes No 

1. Was damage to the siding or trim avoided? ,/ 

2. Was damage to the foundation avoided? S 

3. Was damage to windows avoided? </ 

4. Was damage to windows or door screens avoided? i/ 

5. Was damage to downspouts or downspout extensions avoided? i/ 

Sidewalks and Driveways (Concrete) Yes No 

1. Was damage to driveway surfaces avoided? i/ 

2. Was damage to walkway surfaces avoided? i/ 
Owners comments: 

Inspection notes: 

Removal and restoration activates complete including the 30-day sod warranty: 

EPA Representative &*,$*—*_ Date: t 
dji^^ ?//r

 

Omaha Lead Site 46130

 
Property Completion Agreement

 

This agreement documents the completion of removal activities perfc med on the below listed property. 

The property owner's signature indicates that the property owner is ia-isfied with the restoration of the 

subject property, and that no items are in question, now, or at ai ' i»ae in'the iuture, excluding any 

remaining warranty (30 days total) except those items listed below, i • ar /. 

PropertyD): 

Property Address: 

Owner: 

Phone: , ^ 3 

Restoration Kerns in Question: 

Kern: 

Item: 

item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

agree restoration is completed, except as noted above. 

 I I do not agree restoration is completed 

- 8~<=>7 

Owner's Signature Date 

I
rnni rreview Page 1 of 1 

Douglas County-Omaha, NE 

Parcel ID 

Owner 

Name 

Property 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 2 

Owner City 

Owner 

State 

Owner Zip 

1600500000 

LARSON 

PAULA M 

1811 OHIO ST 

OMAHA 

68110 

258 JUNIPER 

RD 

NIOBRARA 

NE 

68760 

SeoTwn-Rng 

Owner 

Address 

Addition

Block 

Lot 

Legal 1 

Legal2 

Legal3 

Legal4 

Assessor 

Website Link 

10-15-13 

 LAKE ADD 

i 

1 

1 

W 48.33 

48.33X61 

hi tp://douglasne.mappingOliline.com/DouglasCoNe/static/accountinfo.jsp? 

a:countno=R1 600500000 

Disclaimer Map and parcel data are believi ;d to be accurate, but accuracy is not M o-_i. 

guaranteed. This is not a legal document and s ttould not be substituted for a title search, ,. :ncjT- AQ toot 

appraisal, survey, or for; coning verification. ~ 

http^/www.dog^.oi^dogis_aUas/dogis/printPreview.aspx?PrintOptData=Douglas County-... 7/16/2007 
Name: fetv /a. L«r«oA Omaha Lead Site Date: 8' i<s~S North Arrow 

Address: / ft 1 1 ^A«o s+- Site Sketch Time: /O'^S 

Phone: 

Team Fbft Mf#14) BV1D# 

: t-A 

XRFCode 

. 8-2,H'°S' 

Sample Number Lead Concentration Confirmation Sample 

- 2.1060 

147 £ 

°l\la 

ppm 

ppm 

ppm 

ppm 

ppm 

ppm 

ppm 

. . 1CO D 

^2 Yes a 

"Ye s a 

a 

-QYes 1=1 

Ybb a 

No

NO

No

No

No

NU

No

 ET 

ca' 

 CZ 

 t2T 

P 

a 

D 

Omaha Lead Site 46130 
Find Record dean Up Query j Lead Remaining Query 1 Property Damage Query

/ \ 

Sample Area: 29060 -] 1811 OHIO ST 

gwner:^ Resident: 

O Owner Occupied N. A Resident Name:

 

Owner Name: \ \\J ^*

 

/ t~^ -^ / JLARSON PAULA M ) Jf , ^ — ^/ Property Address[jr\

 

v Owner Addressl: Nj'Jp V flSHOHIOST V

 A ix. ^ ss\Zip Code: J •-— ^^^ 

Owner Address2: i J68TID ^ 

J258 JUNIPER RD ./ /"' ^\ Resident Phone / // X

 

City: ^^^ State: Zip Code: \ ]

INIOBRARA' , ]NE ]68760 \ 

Owner Phone: Alternate Phone: / 

' ^ \ A K L^J^ *V*cx^O"' f^~ \\JCr

T 

7//7/07 

] Close I 

Contract: 

Contractor: 

JPRUDENT2007 

Group: 

, , 

Assessment: 

Qualifying Group 

J800 

Assessment XRF Date: 

] 

Assessment Max. XKF Value: 

| 915.71 

i