## TRANSMITTALof OMAHALEAD SIT E SOI LREMEDIATIO NFIL EFOLDE R \ 0 SAID# : 

# I M Date : 

# \ U Address : "1 ^ fl^K ^ ^ Remediatio nContractor : Coasta l Environmenta l Group _ Year : 20 ^ SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S / 

### Vide o o f property (DVD ) 

# P Executiv e Summar y EPA-provide dproperty sketc h Signe dAcces s Agreemen t for subjec t property Signe dAcces s Agreement(s ) for adjacent property Restoratio nAgreemen t Settlemen t document s (i.e. , for damag e o r t o replac e plants , etc. ) Confirmatio ndat a 

## Photograph s ^c ? V m^<ry ? \S^^cop/^-^uy ^ r i\i^ty>(^f<ri^ ^ As-buil t sketc h 

# • / Satisfactory restoratio nsigne db y Property Owne r « / Property close-ou t chec k lis t signe db y EPA -& Descriptio no f area s no t meetin g RO D cleanu p criteri a Utility clearance s Property informatio nfromDougla s County Assessor' s Offic e D D D

30054444 Superfun d

## Propert y Acces s Checklis t Property ID : [^[^ ^ ON : nWOR K STARTE D D WORKCOMPELTE D 0N: _ / / Property Address:-72 0 PiferT ^ ^4 " Renter : O^vnc r Lnnl?. ^ \Jo.C^af\\' i Address : %arr\ t Phone : Fax : Cell/Page n Phone : i|2 2 -n( Additional finformation: ^ Fax : Cell/Page n 1 

### D NotfficationLette r Sent : / / By : M Acces s Agreemen t 

## Signed : 5_/i2_/£ 3 

## By = MvrD S SZ

IRestoratio nAgreement 

## Signed : 3_/J2^/0 9 

## By = Dr-hAvi o D Topsoil Samplin g (if applicable ) / / By : D Disposa l Samplin g (if applicable ) / / By : 0 Garde nSamplin g (if appliaible ) / / By : 1 ^ Utilit y Clearanc e Called: ^ / G/p ^ 

## By=^/iu>/Dq , Q^<leo/Plioto s (Before ) 

## On:^/£5/ ^ By : Cafiuii , PM^^^TV- ^ D Video/Pboto s (Daring ) On : / / By : D Videoffl»hoto8 (After) On : / / By : nViileo«»hoto»(JO-D«y) On : / / By : D Properl y Completio nAgreemoi t Sipncd : / / By : D Pinal Report Issued : / / By : Ai r Monitorin e (a s applicabl e D Communit y QCrc w On : / / By : 

# 1 Results : nCommunit y QCre w On : / / By : , ResuHs : D Communit y QCrc w | On ; / / |By : Results :
Omah a Lea d Sit e

## CONTACT FOR M Propert y I D # Propert y Address : Initial Contact : Secon dContact : Fina l Contact : Fina l Action :

Comment : Owner Comment (s) : Site Coordinato r Comment (s) : \5U0 \

m o ?\CTC X j^ + — 

## Date : Time ; Date : Time : Date : Time : Transmit l o EP AD Action : Action : Action : Other Action : Dit||^ C 

## Douglas Count y Accoun t Infotn^o n Pag e 1 of 2 Dougla s County , Nebrask a Propert yRecor d - R032138000 0 Prin t Repor t NE WFeatur e - Parce l Dimension s availabl e @ scal e 0-5 0 f t wes t o f52n d S t - VieVt fO n Ma p Informatio n i s vali d a s o f2009-8- 3 Treasurer' s Ta xRepor t Ne wFeatur e ^ - > • •Aut o Sale s Searc h Owne r VACANT ! LOUIS E C 72 0 PIERC E S T OMAH AN E 68108-000 0 Propert yInfornnatio n Ke yNumber : 

### 213 8 000 0 0 3 Accoun t Type : Residentia l Parce l Number : 032138000 0 Parce l Address : 72 0 PIERC E S T OI^AHAN E 68108-000 0 Lega l Description : CITYLOT S LO T6 BLOC K24 7 1 5 FTVA C PIERC E S TAD J & E 1 6 FTLT5 & W 7. 5 F T Valu e Informatio n Lan d Improvemen t Tota l 

### 200 9 200 8 200 7 200 6 200 5 200 4 $3,800.0 0 $3,800.0 0 $3,800.0 0 $3,800.0 0 $3,800.0 0 $3,800.0 0 $43,500.0 0 $43,500.0 0 $28,500.0 0 $28,500.0 0 $28,500.0 0 

### $19,400.0 0 $47,300.0 0 $47,300.0 0 $32,300.0 0 $32,300.0 0 $32,300.0 0 $23,200.0 0 Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0.0 8 3528. 0 1. 0 147. 0 24. 0 N o Improvemen t Informatio n Buildin g 1



## http://douglasne.mapping-online.com/DouglasCoNe/static/accoimtinfo.jsp?accountno=R03.. . 8/22/2009

### Dougla s County Accoun t Inforn^io n Pag e 2 of 2 rn^i o

^IHCPWH' C 1*17 1 

# verifie d XiM B

« C

esnicekxkv n TMOSF SPLI TENTR Y

CLIC KTO ENLARG E IMAG E Squar e Footage : 754. 0 Percen t Complete : 100.0 % Perimete r 0. 0 Quality : Averag e Uni t Type : Condition : Averag e

Buil t As : Spli t Entr y Cond o Squar e Footage : 0. 0

HVAC : Centra l Ai rt o Ai r Rooms : 4. 0 Exterior : Fram e Sidin g Units : 1. 0 Interior : Drywal l Baths : 1. 0 Roo fCover : Compositio n Shingl e Bedrooms : 2. 0

Roo fType : Gabl e Stories : 1. 0 Floorcover : Allowanc e Foundation : Bloc k Sprinkle rSquar e Footage : 0. 0 Yea rBuil t Yea r Remodele d Percen t Remodele d Adjuste d Yea r Buil t Physica l Ag e 188 0 0 0 % 188 0 12 9 Detai l Typ e Detai l Descriptio n Unit s Ad d O n Fenc e Chai n Lin k 1. 0 Applianc e Allowanc e 1. 0 Basemen t Bsmn t Bloc k 8 f t 710. 0 Fixtur e Bas e Fixture s 1. 0 Fixtur e Bat h Ful l 1. 0 Porc h Sla b Roo fCei l 101. 0



### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R03. . . 8/22/200 9Pag e 1 of 2

" > Creat e Anothe rTicke t 1 1 Bac k t o Irt h Interne t [ Sen d Emai l J

• YOU RTICKE T NUMBE RI S 2362515 . Origina l Cal l Date : 9/12/0 9 Time : 2:3 1 p m Op : ELIZABETH1879 0 Wor k t o Begi n Date : 9/16/0 9 Time : 7:1 5 a m State : N E County : DOUGLA S Place : OMAH A Address : 72 0 Street : PIERC E S T Twp : 15 NRng : 13 E Sect-Qtr : 26-N W Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : lea d remediatio n Locatio n o f Work : LOCAT E ENTIR E PROPERTY , AL L EASEMENT S AN D T O TH E PEDESTA L Remarks : FAX AL L CLEAR S TO : (877)662-421 1 Compan y: COASTA L ENVIRONMENTA L SERVIC E Contact Name : ELIZABET H Phone : (877)662-421 0 Wor k Bein g Don e For : coasta l Dept ho f Excavation : 4f t Corne r Lot : N Front : Y Rear : Y Involve s Tunnelin g o r Horizonta l Borin g : N Explosives : N CXCAT V LEVEL S MUD0 2 OMAHACO F 0PPDGPR 6 QLNNEI F QWESTN E

Servic e Are a Contac t Phon e Number UtiUt y Typ e Day : 402934046 9 CXCAT V CO X COMMUNICATIONS , IN C HEID I Alt : 402934046 9 Emerg : 402932975 7 Day : 877366834 4 LEVEL S LEVEL S COMMUNICATIONS , LL C N AAlt : Emerg : 877366834 4 Day : 402504782 3 MUD0 2 METROPOLITA NUTILITIES DISTRIC T SAND Y Alt : Emerg : 402504797 0 

### Day : 402444719 7 OMAHACO FCIT Y O FOMAHA-TRAFFIC,SEWE R 

### RO NAlt : 402444516 1 Emerg : 402444516 0 Day : 406728934 3
http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS. . . 9/12/200 9

### Pag e 2 of 2

OPPDGPR 6 OMAH APUBLI C POWE RDISTRIC T N A QLNNEIFQWES T LOCA LNETWOR K 

### N A
QWESTN EQWES T LON GDISTANC E 

### Alt : 406207149 4 Emerg : 888728934 3 Day : 406728934 3 Alt : 406207149 4 Emerg : 888728934 3 Day : 800283423 7 Alt : Emerg : 800283423 7

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS. . . 9/12/200 9

# As-Buil t Drawin g COASTA L INVIHONMINTA L 

# Omah aLea dSuperfun dSit e a R O U P , INC
. 

## 156 9 Exterio rPain t Nort h Arro w Omah a Lea d Sit e Owne rName : •Goo d Sit e Sketc h Address : 72 0 PIERC E S T •Poo r

Phone : H:
_ W : r~ l No t pain t Sampl e Numbe r Lea d Concentratio n Sampl e Collecte d LA B Firm ; Sample s Collecte d Sverdru p RYASCPXA-156 9 Y A 665. 6 pp m 0 

# a Date : RYBSCPXA-156 9 Y B 234. 6 pp m 0 

# n Time : RYCSCPXA-156 9 RYDSCPXA-156 9Y C Y D 375. 8 274. 2 pp m pp m 0 0 

## D 

# n Sample s Analyze d RDZSCPXA-156 9 D Z pp m • 

## D XR F Unit : Book ; RGZSCPXA-156 9 RPZSCPXA-156 9 G Z P Z PP" i pp m D • 

# a • Date ; Time ; 7/11/199 9 17;3 3 Staff ; Numbe ro f Sample s = Legend ; Y A= Yar d (NE) , Y B = Yar d (SE) , Y C = Yar d (SW) , Y D = Yar d (NW) , D Z = Dri p Zone , G Z = Garden , P Z = Pla y OLS# : 156 9 Dat e Excavate d :9/18/ 0 Dat e USEP ASigne d Off : 16/5/0 9 Are a Sodden : 103 5 s a



### • Yc?- - ZM.L^ ••r»rg:y^(i:^(5?-'-$'f'.''' l Re v4 

### Legen d Concreiz e Dri p Zon e Excavate d Quadran-t s Excavate d Are a replace d wit h Are a replace d wit h Are a lef t bar e So d ' ' Rock/Mulc h 

### Contrac t # : EP-R7-07-0 5 Coasta l Environmenta l Grou p Inc .

## 56 9 

# 5J I Exterio rPain t Nort h Arro w 

### Omah a Lea d Sit e Owne rName : 

### • Goo d Sit e Sketc h Address : 72 0 PIERC E ST 

# A •Poo r Phone : H ; W ; Q No l pain t Lea d Sampl e Sample s Collecte d Sannpl e Numbe r LA B Concentratio n Collecte d Firnn ; Sverdru p RYASCPXA-156 9 Y A 665. 6 pp m 

# 0 D Date ; RYBSCPXA-156 9 Y B 234. 6 pp m 

# 0 

# a Time : RYCSCPXA-156 9 Y C 375. 8 pp m 

# 0 

# n Sample s Analyze d RYDSCPXA-156 9 Y D 274. 2 pp m 

# 0 

# a RDZSCPXA-156 9 D Z pp m 

# n a XR F Unit : Book : RGZSCPXA-156 9 G Z pp m 

# n a Date : 7/11/199 9 RPZSCPXA-156 9 P Z pp m 

## D 

# a Time : 17:3 3 Numbe ro fSample s • Staff : Legend : Y A= Yar d (NE) , Y B = Yar d (SE) , Y C = Yar d ($W) , Y D = Yar d (NW) , D Z = Dri p Zone , G Z = Garden , P Z = Pla y



# 57//^X^-'^^^' ^ 

# 5o D 

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. 

## '^fbtwrn/t^v/yv - Re v 4 0161 4 1,012.' ! 

# H\ u P i

# 156 9 % Omah a Lea d Sit e Owne rName : 

### Sit e Sketc h Address : 72 0 PIERC E S T 

### Phone : Jl ; W : Sampl e Numbe r Lea d Concentratio n Sampl e Collecte d LA B RYASCPXA-156 9 RYBSCPXA-156 9 Y A« ­ 665. 6 pp m pp m 

# 0 0 D 

# • RYCSCPXA-156 9 375. 8 pp m 

# 0 

# a RYDSCPXA-156 9 274, 2 pp m 

# 0 

# n RDZSCPXA-156 9 pp m 

# D 

# a RGZSCPXA-156 9 pp m 

# a n RPZSCPXA-156 9 pp m 

## D 

# a Exterio rPain t Nort h Arro w •Good 

# A •Poo r Q No t pain t Sample s Collecte d Firm : Sverdru p Date : Time : Sample s Analyze d XR F Un i t : Book :

Date : 7/11/199 9 Time : 17:3 3 Staff :



# T hU P

# 1 \

# 156 9 Exterio rPain t Nort hArro w 

### Omah a Lea d Sit e Owne rName : •Goo d 

### Sit e Sketc h Address : 72 0 PIERC E S T 

# A Phone:_y i W : • Q Poo r

No t pain t Sampl e Numt)e r Lea d Concentratio n Sampl e Collecte d LA B Finn : _ Sample s Collecte d Sverdru p RYASCPXA-156 9 YA 665. 6 pp m 

## S I 

# a Date : _ RYBSCPXA-156 9 Y B 234. 6 pp m 

# D Time : _ RYCSCPXA-156 9 RYDSCPXA-156 9 Y C Y D 375. 8 274. 2 pp m pp m 

# n a Sample s Analyze d RDZSCPXA-156 9 D Z pp m 

# a a XR F Uni 1 t : Book : RGZSCPXA-156 9 G Z pp m 

# D D Date : _ 7/11/199 9 RPZSCPXA-156 9 P Z pp m 

# D D Time : _ 17:3 3 Numt>e ro fSample s = 4 Staff : Legend : Y A= Yar d (NE)
. Y B = Yar d (SE)
. Y C = Yar d (SW)
. Y D = Yar d (NW)
. D Z = Dri p Zone
. G Z = Garden
. P Z = Play



# Yc>- - IM- ^ FlB^O ^ S T Rev 4 046141.012 3COASTA L ENVIttONHENTA L " t PROtt- ^ Clour , IN C 

## Consen t fo rAcces s T o Properi y RIGH TO F ENTR YT O PREMISE S 

### Granto r(th e propert yowner ) consent s t o an d authorize s th e Unite d State s Environmenta l Protectio n Agenc y(EPA ) o rit s authorize d representatives , collectivel y th e Grantee , t o ente ran d perfor m certai n environmenta l respons e activitie s upo n th e followin g describie d premises : 

# T OL/iS ^

\PP)0/^rO~r \ Owner' s Name : Daytim e Phone :
C Addres s o fPropert y 

# •]7i > -f'^^ ^ covere d b ythi s Agreement : PURPOS E O F RESPONS E ACTIVITIE S 

### Th e EP Ai s requestin g acces s t o collec t soi l sample s an d remov e soi l tha t contain s elevate d concentration s o flea d an d ma ypos e a healt h hazard
. Th e area(s ) wil l b e excavate d t o remov e contaminate d soil
. Th e remove d contaminate d soi l wil l b e replace d wit h clea n material s an d th e are a wil l b e restore d t o it s origina l condition
. Thi s wor k i s bein g performe d unde rth e Omah a Lea d Superfun d Sit e remediatio n program . Arepresentativ e o fCoasta l Environmenta l Group , contracte d b yUSEPA , wil l contac t th e Granto rin-perso n t o discus s th e wor k t o b e perfonned , th e Granto rwil l hav e a n opportunit yt o revie wan d approv e th e planne d soi l removal , an d restoratio n wor k befor e i t begins
. Onc e th e wor k i s finished , th e Granto rwil l b e aske d t o revie wth e wor k an d confir m tha t i t i s complet e an d meet s wit h th e Grantor' s approval
. Upo n completion , th e Granto rwil l receiv e writte n documentatio n fro m EP Atha t th e propert y ha s bee n remediated
. ENVIRONMENTA L RESPONS E ACTION S 

### Bysignin g thi s Acces s Agreement , th e Granto ri s grantin g th e EPA , it s employees , contractor s an d subcontractor s th e righ t t o ente rth e property , a t al l reasonabl e time s an d wit h prio rnotice , fo rth e sol e purpos e o fperfomiin g th e work
. Thi s acces s shal l remai n i n effec t unti l th e wor k ha s bee n satisfactoril ycompleted
. Th e Granto rals o agree s to :

Pag e 1 o f2COASTA L 

### > * ENVIRONHEHTA L '*>.
. PROlt. ^ GROUP . IM C 

### «> Remov e obstruction s includin g boats , trailers , vehicles , playscap e items , woo d piles , do g houses , etc ; e Remov e flowe rbulb s o rplant s tha t th e Granto ro rth e Grantor' s tenan t ma ywis h t o save ; « Wate ran d maintai n replacemen t vegetation , includin g fertilize rapplication , a s necessarysubsequen t t o a n initia l waterin g perio d b yEPA ; e Abid e b yhealt h an d safet yguidanc e provide d b yEPA ; e I fth e propert yi s rented , assis t EP Ai n obtainin g tenan t approva l fo racces s t o th e propert yt o perfor m th e work
. •Allo wvideotapin g and/o rphotographin g o fth e property . AGREEMEN TNO TT O INTERFER E 

### Th e Granto ragree s no t t o interfer e o rtampe rwit h an yo fth e wor k activities , o rwit h an y o fth e wor k done , o rwit h th e equipmen t use d o n hi s property , o rt o undertak e an y action s regardin g th e us e o fsai d propert ywhic h woul d ten d t o endange rth e healt h o r welfar e o fth e Grantee s o rth e environment , o rt o allo wother s t o us e th e propert yi n suc h a manner . Shoul d yo u hav e an yquestion s abou t thi s program , pleas e contac t Coasta l Environmenta l Group , a t (402 ) 991-119 9



# M I gran t access t o m ypropertie s D I d o not gran t access t o m ypropertie s 

# )u^'- ^ 1>UJ:^
- i ^ I'L, g^oo ^ Signatur e Dat e Signatur e Dat e
G I woul d lik e t o b e presen t durin g an ysamplin g tha t i s required
.

Pag e 2 o f2

## tr"t:f e COASTA L 

### Restor^t30[' ^ Agreesnen H Th e purpos e o f thi s agreemen t i s to provide amutua l agreemen t a s t o condition s ofth e propert y prior t

o remediatio nactivities . Thi s will als o serv e a s documentationfo r th e purpos e of assurin g tha t restoration activitie s ar e completedt o th e satisfactionof th e propert y owne r andthe UnitedState s Environmenta l Protectio nAgenc y (EPA) . Propert y ID T/f)b' ^ Propert y Address/>^2k > p/3/^P6 ^ ^ 

# 01^ 1 Onth e attacheddiagram(s ) indicat e area(s ) t o excavate , surface structure s an dlandscaping feature s an d acces s location(s ) t o b e use dby th e contractors , indicat e distances , depths , materia l types , etc . Photographically an dVideographicall y documen t th e existing condition s ofthe propert y an dthe basemen t i

f necessary . 

### item s t o b e Remove d b yth e Owne rbefor e Start o fRemediation : f h e removal , storaqe . disposal , and/o rreti:r n o fthes e itom s i s th e Owner' s responsibilrty
. Item : 

# hU^ ^

^y> ^ 

# ^/ / P/^. i Kem i 

### / ^ Item : Item :



### item s t o b e Remove d b yth e Contracto rDurin g Remediatio n an d fito t Replace d Kern : 

# /?^-. . y P-^.i i ?b< ^ \~-P x (PUy . Item : Item : Kern : 

# 1 , Pag e 1 o f

# PCP ^ COASTA L C K> •o t 

### Item s t o B e Remove d ByContracto rDurin g Remediatio n an d Replace d Item : 

# \ i SDI ^ Kern : 

# Sb b 

# - 1^ 4 Kem : \ \Item :



### Ite m Pre-existin g propert y area , tha t wil l b e excavated , tha t i s covere dwit hgrass . Numbe r o f tree s > 2 inc h trun k diamete r Numbe r o f tree s < = 2 inc h trun k diamete r Numbe r o f Sprinkle r Zones , Contro l Valves , Timers , Heads , etc . Aii.nth, 1 ikftc ho l tli e >.pr'i'kli. M liiv'.ni ; Numbe r o f an dsiz e o f eac hgarden / flower be d area . AlliU h; i skctcl i 1)1 rcljiliv f ?i/i- ^ nn dlac;iiioii v Agree dupo nvalu e o f plan t material s no t t o b e replace db v contra ctor . Voi f ilii
­ \iiiii c vs\\\n t t:S('(_ ' 1 0 IM m. ; ;ilaii i V outlie r K i I li e liroiicn x y\\

\ner . Easemen t Area , t o b e excavate d 

### Quantit y 

# y^ 1 y ^


# 1 

# y Landscap e Inventor y Unit Conditlon/Type/Specie s Quadrant s

Eac h F,aR h

Eac h

Fflc h SquareFee t

S

Eac h
Pag e 2 ^ ^COASTA L I M vinOMM I NTA t

< Additiona l Comment s / Instructions :



### M Chec k th e bo x

ifOwne rdoe s no t wan t CE G to documen t interio rfoundatio n wall s an d possibl e prB-existin g damage
. Bycheckin g thi s bo xCE G is not responsibl e fo ranydamag e don eto th e interio r ofhouse
. Includin g foundatio n crack s

orfissures
. p } I agre e Q 1 do no t agre e
fi^fflMa Owner' s Signatur e Date (tractor' Sienaturr Confractor' s s Signature Date Pag e 3 

### o,' ^

### BVID# 

# Md
- XR F PROPERT YSAMPL E 

### SHEE T Dat e 

# ml ^ Addres s 

### '/ ^

yie^yy^ ^ Proiec t Omafi a lea d FP 2nc l yea roptio n Sampl e tinrte am/p m XRFID # 

## :\70?PA sampl e lengt h 

### 30 se c

Shot # Readin g 

## ^ 2
. 

# :^2 : /7 ^ 

### ^l(f f 

# fe 7/0 ^ r^

-f Averag e ^ :! ^ ) Shot # Readin g

Averag e

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Averag e la b sampl e # La b resul t Sampl Shot # Readin g Sampl e are a )ampl e e are a

ar 

# M Dept h Dept h ^ Averag e

Sampl e are a Shot # Readin g Sampl e are a Dept h Dept h Averag e Sampl e are a Shot # Readin g Sampl e are a Dept h Dept h Averag e
RETES TAREA S Sampi e are a Shot # Readin g Sampl e are a Dept h Dept h Averag e Sampl e are a XR F Avg
. Sianatureg)L>ar t ho\\/ \ Cf ) Q^foA ^ 

# Prin t Fl < Ar^o4^0i}^orp ^•• 

## / ^^AOmah a Lea d Site—Fixe d Pric e EP-R7-07-0 5 Coasta l Environmenta l Grou p Inc
. ^

www.coastalhazmat.co m ^tpRoT** ^ COASTA L ENVItONHENTA L CROUP , IN C 

# EXECUTIV ESUMMARY : BVID #1569
- (72 0 PIERC EST ) No Issue s o r Concern s [ ^ Issues/Concern s Detail Explanation :4 

# m r r ^ EP APropert y Clos e Ou t For m Propert yAddr.«: - "^ yO ^^^'^^^^ 6 U Propert y # : \0(QP 1 . r 0«nier' s Name:
. J g1.1\1 f._V^WO^^ '
. •, Date/Tlne : Quad s Excavated : ^t\ 

### Contracto r Grou p Pm5^v\ \Fn>(^cnnmrrU€L \ Ye s N o Excavatio nCeBcra l I .I f necessaiy , wer e th e correc t quadrant(s ) excavate dan drestored ? 2 .I f necessary , wer e th e correc t area s ofdri p zon e excavate dan drestored ? 

# t J

Ye s N o Gradin g So dan dVegetatio n 1 .Doe s th e gradin g aroun dth e perimete r ofth e hous e i nexcavate darea s generall y slop e away fiomth e house ? __^__^ _ 

# y ^ 2 .Ha s so dbee nlai di nal l area s tha t wer e excavated ? 

## ly 3 .

Doe s th e so dappea r t o b e generall y health y an dgrowing ? (Onl y evaluat e i f inspecte dat a3 0 da y tim e period ) 

# y 4 .

Ar e sodde darea s generall y fu man devenl y graded ? 5 .

Ar e th e joint s behivee nth e so dstrip s generall y tight ? (Onl y evaluat e i f inspecte da t a3 0 day 

## u - ^ tim e period )___ ^ 6 .

Wa s th e propert y grade dsuc htha t wate r wil l no t poo l o nth e propert>' ? 

## t/ ^ 7 .Wa s danug e t o landscapin g o r plan t material s avoided ? l^ ' Gates , Fence s an dRetainin g Wall s Ye s N o 1 .D o gate s ope nan dclos e finely ? (I f applicable ) 

# t^ ^ Wer e al l gate s o r fence s take ndow ndurin g restoratio nactivitie s reinstalled ? (I f applicable ) 

# I/ ' 3 .

Wa s damag e t o gate s o r fence s avoided ? (I f applicable ) 

# y 4 .Wa s damag e t o retainin g wall s avoided ? (I f applicable ) Foundation , Sidin g an dGutter s Ye s No t .

Wa s damag e t o th e sidin g o r tri mavoided ? 2 .Wa s damag e t o th e foundatio navoided ? 

# y Wa s damag e t o window s avoided ? 

# y Wa s damag e t o window s o r doo r screen s avoided ? 

# y 5 .

Wa s damag e t o downspout s o r downspou t extension s avoided ? ^ ' Sidewalk s an dDriveway s (Concrete ) Ye s N o 1 .Wa s damag e t o drivewa y surface s avoided ? 2 .Wa s damag e t o walkwa y surface s avoided ? ^

# -% m Ovf'ner s comments :

Inspectio nnotes :

Removal an drestorationactivate s comp^etejncludin g th e 30-da y so dwarranty : EP ARepresentativ e 

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## Propert yCompletio n Agreemen t Thi s agreemen t documenl s th e completio n o fremedia l acliviiie s perloime d o n m yproperl yM ysignalui e wil l designat e Iha l I a m satisfie d wit h th e restoratio n o fm ypropeily , an d iha i n o item s ar e i n queslions
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