2006

 

OMAHA RESIDENTIAL LEAD SITE 

Time and Materials Contract 

Remediation Contractor: PRI

 

(Project Resources Inc.) 

PROPERTY INFORMATION 

OLS Identification No.: 34012 

Classification: Child Care 

Owner: Anthony Tate 

Address: 4301 N. 33 St. 

City/State/Zip Code: Omaha, NE 6811 1 

Prepared for: 

U.S. Environmental Protection Agency 

Region 7 

Prepared by: 

v HGL = HydroGeoLogic, Inc 

Exceedin g Expectation s 

HydroGeoLogic, Inc. 

8245 Nieman Road, Suite 10:

 

Lenexa, KS 66214 

Contract No.: EP-S7-05-05 

40264527 

Superfund 
FINAL PROPERTY REPORT

 

GENERAL INFORMATION 

OLS Identifications: 340 12 Owner Name: Anthony Tate 

Group: Child Care Phone:(402)932-1843 

Property Address: 4301 N. 33 St. Owner Address: 430 1 N. 33 St. 

Omaha, NE 6811 ! Omaha, NE 681 11 

Comments: Alternate Phone Number(s) 

RESTORATION TIMELINE 

Restoration Agreement Signed Date: 10/5/2006 

Excavation Began Date: 10/1 1/2006 

Excavation Completed Date: 10/12/2006 

Property Sodded Date: 10/18/2006 

EXCAVATION SUMMARY 

Quadrant 

XRF Results 

Pre-Excavation Post-Excavation 

Laboratory 

Confirmation 

Sample Results 

Excavation 

Depth 

Barrier 

Required 

FI - - - - -

F2 493 38.1 - 6-10 No 

Bl 1 17 - - - -

B2 81 - - - -

Drip Zone 109 - - - -

Play Area 67 - - - -

Garden - - - - -

Easement - 73 - 0 No 

Other - - - - -

Unexcavated Areas Remaining: 

None 

Excavation Comments: 

All laboratory and XRF results are reported in milligrams per kilogram. 

- Not applicable 

Property Notes: 
&EPA

 

EPA Property Close Out Form $/ 

Property #: Property Address: -<43iC\ fi, 

Date/Time: il / Owner's Name: 

Quads Excavated: Contractor Croup Uc->AyC:-<=/Pr? 

Excavation General Yes No 

1 . If necessary, were the correct quadrant(s) excavated and restored? 

^ 

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 i/ from the house? 

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) s

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

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

time period) s

6. Was the property graded such that water will not pool on the property? •' 

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

Gates, Fences and Retaining Walls Yes No 

\. Do gales open and close freely0 (If applicable) "/A, 

2. Were all gates or fences taken down during restoration activities reinstalled0 (Ifapplicable)W/A. 

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

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

Foundation, Siding and Gutters Yes No 

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

2. Was damage to the foundation avoided? I/ 

3. Was damage to windows avoided? ^ 

4. Was damage to windows or door screens avoided0 / 

5. Was damage to downspouts or downspout extensions avoided? 

^ 

Sidewalks and Driveways (Concrete) Yes No 

1 . Was damage to driveway surfaces avoided? 

^ 

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

Inspection notes: 

*—<>Cj 

/ » /y Removal and restoration acti/ates complet^JoKluding the 30-day sod warranty: 

EPA Representative Date: U I(

\ / / ' 
I

V H«5L_ -~~ HyclroGooLogic, Inc 

Property Completion Agreement 

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

The property owner's signature indicates that the property owner is satisfied with the restoration of the 

subject property, and that no items are in question, now, or at any time in the future, except those items 

listed below, if any. 

Property ID: 

Property Address: 

Owner: 

Phone: 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

l^J I agree restoration is completed, except as noted above. 

 I I do not agree restoration is completed 

Owner's Siep«Ture Date 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Remediation Contractor: 

Property Identifier Number: 

Property Address: if 3<f-V st/ 3 ? 

Property Owner's Name: M- tn 

(above information to be filled out by remediation contractor prior to deliver,' of form to Property Owner) 

:|< * * * * * * * # * * =t= * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *'• 1= # # * * * * * * * * * * * # * * * * # # # * * ***>!:*:(::(: * * =!< 

Instructions to Property Owner: 

This form is provided to you as a means of trying to capture your level of satisfaction 

with the work of the above-identified remediation contractor, as applicable to the soil cleanup 

action at your property. The U.S. Environmental Protection Agency (EPA) and the U.S. Army 

Corps of Engineers (USAGE) are very interested in your opinion regarding the work performed 

bv our contractors. This form is intended to provide an easy means for you to express your 

opinion about the work performed on your property. 

Please indicate your level of satisfaction with the contractor's work by selecting a 

numerical rating (ranging from 1 to 10) using the following rating scale, then please sign & date 

the form and return it to the USEPA in the attached self-addressed & stamped envelope, 

(additional comments may also be provided in the space below, at the option of the property 

owner.) 

"excellent" 

"very good" 

"acceptable" 

"poor" 

"very poor" 

Property' Owner's Satisfaction Rating Regarding Contractor's Work 

10 5 

9 4 

8 \^ 3 

7 2 

6 1 

Additional Comments from Property Owner (optional: continue on back of page if needed) 

Property Owner's Signature: ^TTJdfiM^A /uO Date: I I 
Total Quadrant Square Footage to be Excavated = 1211 

Property Classificatiorv-6S^ Total Drip Zone Linear Footage to be Excavated = 0 

-t 

Legend 

O 

Concrete 

Excavated Area 

Existing Structure 

Fence 

Permanent Landscaping 

Quadrant Boundary 

Street Boundary 

Tree/Shrub 

-Norit.h-33-StFpet­ i i ! 

North Arrow Omaha Lead Site 

Omaha, Nebraska 

Scale 

1 Inch = 20 feet or 1 grid = 5 x 5 ft 

Property Number 

OLS-34012 

Property Address 

4301 N 33 ST 

v HGL •^ HydioiiPOl ngic. try 

F1 . 

F2 

B1 

Post Excavation Concentrations

~ B2 ff / Play Area

£> DZ t& y Easement

(7­ Garden ^—^ Other

 (ppm) 

 iL ~7­

 "7f 

— 

Description of post excavation areas: F1. front yard left-hand quadrani. F2 front yard nghi-nand quadrant B1, backyard left-hand quadrant, B2, backyard nght-hand quadrant: 

DZ, drip zone (1-3 foo area of soil around the foundation of the house) 
\ 

Legend North Arrow Omaha Lead Site 

Contour Line Omaha, Nebraska 

(2 foot interval) 

Property Number 

OLS-34012 Scale 

Property Address 1 Inch = 20 feet or 1 grid = 5 x 5 ft 4301 N 33 ST 

Post Excavation Concentrations (pp.m) 

I

161 F1 _-' B2 $ 1 Play Area bt \A '/f ! - F2j DZ 1C1

] Easement 73 '\nfvx^

B1 1 IT- Garden — Other —

Description of post excavation areas F1, front yard left-hand quadrant F2, front yard right-hand quadrant B1, backyard left-hand quadrant B2. backyard right-hand quadrant 

DZ drip zone (1 -3 foot a -ea of soil around the foundation of the house) 
vHGL

 

Omaha Lead Site 

Post Excavation Sampling Results 

DATE: 1 ^il'lr/ Gfc 

OLSID: •'34-OI2. 

ADDRESS: M-^OJ M ^3> SiXRFID : 

XRF Confirmation Results 

XRF Reading 

Location #1 #2 #3 Average Depth Comments 

Fl 

F2 telid # £? // 3TJT// 3f./f|V.i ,^'-/6''

 

Bl 

B2 

DZ 

GZ 

PZ 

Easement i£\ .Hi? ^.•gl. ^3 ^Z."lt2\ 7?t^| M 10- r:. Cfe Om> 5^ ^^ 

Lab Samples 

Location Date Sample ID Field \RF Lab XRF Depth Comments 

Fl 

F2 

Bl 

B2 

DZ 

GZ 

PZ 

Easement 

TESTED BY: /)fo6> [/fj^ Date: (#/ f^ / ^7^ 

REVIEWED BY: ^frf ^L' Date: ' Irf/ /> /x?7^ 
34012

 

Omaha Extenor Paint North Arrow Lead Site Owner Name: ANTHONY TATE Site Sketch Address: 4301 _N_33ST Poor 

Phone: H: w: Not paint 

Lead SamP|e Samples Collected Sample Number 

Concentration Collected Firm: FDA t)C//)V/3<* 

RYASGPXA 34013 E4- ppm Date: %' 27'• Q<4

 

RYBSCPXA-34012 F2 ^a ppm D Time: /?

 

RYCSCPXA-34012 B1 ppm n Samples Analyzed RYDSCPXA-34012 B2

 ppm n 

RDZSCPXA-34012 DZ ppm n XRF Unit: Book: 

OfV^^f^pV A O yl n 4 O f'lT7 ppm Date: _

 

RPZSCPXA-34012 PZ & ppm

 n

 Time: _ 

Staff: Number of Samples = 

_j—^ 

ENTEEEL 

AUG 3 0 2005 

|fZ=U>"]: 

fi 

Omaha Lead Site 46130 
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: 

Owners Nanie: . Daytime Phone: 

Address: ^"501 /J 3$, -5 fCity, State Zip: OrXl^M^ft, l^& I^ < ~S\\ \ 

Addressies of 

Properties covered by 

Address: 

this Agreement City, State Zip: 

Address: 

City, State Zip: 

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

Environmental Response, and Liability Act (CERCLA). 42 USC. $ 9601-9675. or any other law. 

PURPOSE OF ACCESS 

The purpose of the response action is to remove lead contaminated soil from residential properties; 

including day care facilities. Sampling of soil may be conducted. 

ENVIRONMENTAL RESPONSE ACTIONS 

The environmental response actions to be preformed 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; 

3. Planning and implementing the removal action on or near Grantor's property. (This may 

include the excavation of lead contaminated soil, backfilling with clean soil, and 

restoring the site property. 
I

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 subsequent agreement. 

 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 1 agree to its terms and conditions. 

AGREEMENT NOT TO INTERFERE 

Grantor agrees not to interfere with any of the activities undertaken by EPA at the Property, tamper with 

any of EPA'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 a 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 attachment 1 any 

items to be removed by the Grantor before activities commence. 

RESTORATION OF PROPERTY 

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. 
Address f 0/J I V 5 O Jt Property# 

CURRENT CONDITIONS/PROPOSED REMOVAL ACTIVITIES 

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 

activities are completed to the satisfaction of the property owner and the United Stales Environmental 

Protection Agency (EPA). 

Items to be removed by property' owner prior to the removal activities: 

\ 

2 

3 

Items not to be removed by contractor during removal activities: 

i 

ADDITIONAL COMMENTS: 

^ /€>-£-0 k 

SignatuB^Grantor's) Date 
H 

HydroGeoLogic, Inc SERA

 

Property Log 

Property # 34012 Property Address 4301 N 33 ST 

Owner's Name TATE ANTHONY 

Contact Nuraber(s) 4026711407 

Date/Time Spoke To HGL Comments 

4 

C 

Sly 
OMAHA LEAD SITE 

5600 S 10th Street 

Omaha, NE 68107 

Ph: 402.731.0779 Fax: 402.731.0747 

www.hql.com 

FAX COVER SHEET 

TO n S *** I C^-f^ f * *^^ IO«*.- * fc— \

Company:

Fax Number: 3'^TPhone Number: 

Project: ('^^^ 

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Emai! Address: @hg!.com 

 Date: 

Total pages including cover: 

Subiect: 

Notes/ Comments: 

-
Property Detail Information Page 1 of 3 

•inn mm 

(Doughs County Assessor 

Last Updated: 09/15/2006 

« Perform a New Valuation Search 

Owner Information: 

Owner Name: TATE ANTHONY 

Mailing Address: 4301 N 33 ST 

OMAHA, NE 68111-0000 

Property Information: 

Key Number: 23330000 18 

Account Type: Residential 

Parcel Number: 1823330000 

Parcel Address: 4301 N 33 ST 

OMAHA, 68111-0000 

Previous Assessed Value: $29400.00 

Current Assessed Value: $51600.00 

Tax Levy Information: 

CITY COUNTY BUILDING 

DOUGLAS COUNTY 

OMAHA PUBLIC SCHOOL DISTRICT 

EDUCATIONAL SERVICE UNIT 019 

METROPOLITAN COMMUNITY COLLEGE 

CITY OF OMAHA 

PAPIO NATURAL RESOURCE DISTRICT 

OMAHA TRANSIT AUTHORITY 

Total Levy 

View Douglas County Treasurer's Tax History Information 

.01096 

.26427 

1.21849 

.01500 

.06740 

.43387 

.03909 

.04890 

.00000 

.00000 

2.09798 

Parcel Characteristics: 

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Property Detail Information Page 2 of 3 

Legal Description: MOUNT VERNON LOT 14 BLOCK 3 47.5 X 138 

Parcel Size: Acres: 0.15 Sq. Ft.: 6624 

Please Note: 

The legal description above is a courtesy provided for assessment purposes and is not intended for 

use in legal instruments. 

Sales Information: Click Here For Sales Data 

Building Characteristics: 

Building Number: 01 

Building Size: 1276 sq. ft. 

Year Built: 1940 

Condition: Average 

Quality: Fair 

Exterior: Frame Siding 

Units: 1 

Bedrooms: 3 

Baths: 1 

Garage: Detached 

Garage Size: 320 

Property Photos/Sketches: 

I 1/2 STORY FKI 

iiii«»4.iii»iiniiitiif_v^M»:ii.-tr*-VV»:».t.i 

Click Here To Enlarge Image Click Here To Enlarge Image 

.View Parcel Map 

The Douglas County Assessor's office makes every effort to produce and publish the most current and 

accurate information possible. No warranties, expressed or implied, are provided for the data herein, its use 

or interpretation. 

© Copyright 2003, Douglas County Assessor's Office 

Assessors Home Valuation Information | Meet Your Assessor | Frequently Asked Questions 

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20.01 

4301 N 33 ST 

16.0' Detached 

320.0 sq.ft. 

29.0' 

29.0' 

1 1/2 STORY FIN 

Bsmnt Block 8 ft 

754.0 sq.ft. 

26 o' First Floor 25.0 

754.0 sq. ft. 

29.0' 

Second Floor 

522.0 sq. ft. 

29.0' 

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