PROPERTY SUMMARY

 

Date; 09/18/2007 | Omaha Lead Site Remedial Action Contract # EP-R7-07-06 Month of: September 

Property Address; 2418 Mary St 

A. EXECUTIVE SUMMARY 

A.I Issues Encountered: Sod issues were addresses and verified by Dan Garvey. 

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

A.3 Unique Findings: 

A.4 Other Relevant Information: 

CONFIRMATION SAMPLING DATA/RESULTS: 

DZ-290@10" 

B2-176@10" 

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. 

ECHNOLOCIES, INC. 
46130

 
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Total Quadrant Square Footage to be Excavated = 517 

Property Classification: 800/CHILD Total Drip Zone Linear Footage to be Excavated = 81 

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Mary Street 

Legend North Arrow Omaha Lead Site 

|:VF^[ Concrete N

 Omaha, Nebraska 

V/\ To Be Excavated A Property Number 

Existing Structure OLS- 40430 Scale 

• — •—• Fence Property Address 1 Inch = 20 feet or 1 grid = 5 x 5 ft 

241 8 MARY ST 

— — — Quadrant Boundary ^X __^^ _ Post Excavation Concentrations (ppm) t 

Street Boundary V H*aL F1 B2 Play Area 

(Q) Tree/Shrub B1 Garden Other 

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

DZ, drip zone (1-3 foot area of soil around the foundation of the house) 
Name w*«vo.r* ******__ Omaha Lead Site Date: W//3/43 North Arrow —

 

Addre ss: i3y/^ /nA£T''*7~ Site Sketch Time:

 

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Team Atf 7/7/9 /Svy^-fifk S&tJ BV1D# V^v3o XRFCode S3C\ 

Sample Number Lead Concentrate )n Confirmation Sample 

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Omaha Lead Site 46130 
Agreemeaflk) allow access to 

Omaha Lead ^ •/ $%, '• the properrfln order to conduct 

Site Remedial 'i '•^ffi' ••• environmental sampling and to 

remove lead-contaminated soil 

Prudent Technologies, IDC. (Prudent) is under contract wim the U. S. Environmental Protection Agency 

05PA) to dean up lead-contaminated soils at a number of properties located in Omaha, Nebraska, 

inrlmlmg Die property located at_ . The EPA requests your 

pennission to allow Prudent to perform a soil cleanup at this property to remove lead-contaminated soil. 

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

dump ^r|M^«»y soil ^atmility removal of lead-contaminated soil, and restoration of the referenced 

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

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

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

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

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

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

Pioperty Access Granted By: 

$*l»u» Print N «m«) 

Property Owner Signature: c/°*- ^ / 

(Data) 

PROPERTY INFORMATION 

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

RESIDENT NAME: (v r J i ir-& in )J ~7~7x 5 6 K. r-ym r-pter * it ' /—•-"•»••—••--- i l_l \—I 

RESIOENT ADDRESS: //^ *KV\a^ ^^ /findi*. JJ?" 

IP RENTAL. PROPERTY OWNED BY: 

OWNER'S HAILING ADDRESS: H vl 

OWNER'S TELEPHONE NUMBER -HOME: titto ti<{~~ L^IO*! WORK: ltit>2\ i • • i 

AGE OF HOME?: _ YEARS. HOW LONG HAVE YOU LIVED HERE? S ft YEARS. 

HAS THE EXTERIOR BEEN PAINTED OR COVERED WITH SIDING SINCE 1976? ^"~YES _ NO 

NUMBER OP OCCUPANTS UNDER 1 YEARS OLD: ffi NUMBER OF OCCUPANTS 7 YEARS OLD AND OLDER 

NUMBER OF CHILDREN UNDER 7 YEARS OLD WHO PLAY IN THE YARD FOR 5 HOURS OR MORE PER WEEK: (^} 

COMMENTS OR SPECIAL INSTRUCTIONS: (LE. DOGS. ENTRY GATES. ETC.) /J^*/ 6 // 

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

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

provided for in Section 104(e) of CERCLA, 42 U.S. C 9605(6), which provides entry for "determining the need for 

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

title." 
EPA Property Close Out Form

 

Property #: Property Address: 

Date/Time: "J//9/C7 Owner's Name: 

Quads Excavated: Contractor Group 

Excavation General 

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

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

from the house? 

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

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? 

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? 

7. Was damage to landscaping or plant materials avoided? 

Gates, Fences and Retaining Walls

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) 

Foundation, Siding and Gutters 

1. Was damage to the siding or trim avoided? 

2. Was damage to the foundation avoided? 

3. Was damage to windows avoided? 

4. Was damage to windows or door screens avoided? 

5. Was damage to downspouts or downspout extensions avoided? 

Sidewalks and Driveways (Concrete)

I . Was damage to driveway surfaces avoided? 

2. Was damage to walkway surfaces avoided? 

Yes No 

v/ 

•/ 

 Yes No 

i/ 

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/ 

/ 

/ 

i/ 

 Yes No 

J 

/ 

/ 

/ 

Yes No 

/ 

/ 

s 

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s 

 Yes No 

I/ 

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Owners comments: 

Inspection notes: 

Soo J-,,L Wo .^' 

8/io/o7 

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

EPA Representative $ &*, j£L, Date: 9//f/e? 
Total Quadrant Square Footage to be Excavated = 517 

Property Classification: 800/CHILD Total Drip Zone Linear Footage to be Excavated = 81 

Legend 

Efcjij Concrete 

Y/\ To Be Excavated 

|3SB!| Existing Structure 

•—• • Fence 

^X^ Permanent Landscaping 

— Quadrant Boundary 

Street Boundary 

<3> Tree/Shrub 

North Arrow N 

Scale 

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

F1. 

F2 

v HGL 

B1 

Omaha Lead Site 

Omaha, Nebraska 

Property Number 

OLS- 40430 

Property Address 

2418 MARY ST 

Post Excavation Concentrations (ppm) 

82 Play Area 

DZ Easement 

Garden Other 

Description of post excavation areas: F1. front yard bA-nand quadrant; F2. (rant yard right-hand quadrant B1. backyard left-hand quadrant B2. backyard right-hand quadrant; 

OZ. drip zone (1-3 toot ana of sol around (ha foundation of the house). 
&EPA TECHNOLOGIES, 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, excluding any 

remaining sod warranty (90 days total) except those items listed below, if any. 

Property ID: 

Property Address: 2. */ff i~lCr ^ 3/^ 

Owner: 

Phone: 

Restoration Items 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 

r 

fiature I/ bate 

I
Douglas County Page 2 of 2 

Cl_ick to Enlarge Image 

Square Footage: I 934.0 

Perimeter ' 0.0 

Unit Type: 

Built As: 1 1/2 Story Unfin 

HVAC: ! Forced Air 

Exterior: | Frame Siding 

Interior: Drywall 

Roof Cover: i Composition Shingle 

Roof Type: I Gable 

Floorcover: ', Allowance 

Year Built Year 

Remodeled 

Percent 

Remodeled 

1921 0% 

Detail Type I Detail Description ... __ _ 

Appliance Allowance 

Basement Bsmnt Block 8 ft i ^ _ 

Fixture i Base Fixtures 

Fixture | Bath Full 

Garage Detached 

Porch Encl Screen 

Ranch 

CJic kJLQ_En]arge Image 

Percent Complete: 100.0% 

Quality: Average 

Condition: Fair 

Condo Square Footage: 0.0 

Rooms: 5.0 

Units: 1.0 

Baths: 1.0 

Bedrooms: 2.0 

Stories: 1.0 

Foundation: 

Sprinkler Square Footage: 0.0 

Adjusted Year Physical Age Built 

1921 83 

Units 

1.0 

934.0 

1.0 

1.0 

216.0 

104.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl7... 6/22/2007 
Douglas County Page 1 of 2 

Douglas County, Nebraska Property Record -

Information is valid as of 2007-5-9 

Values not finalized until after Board of Equalization 

 R1749060000 

Print Report 

View on Map 

Owner 

STESKAL VIRGINIA M 

2418 MARY ST 

OMAHA NE 68112-0000 

Property Information 

Key Number: \ 4906 0000 17 

Account Type: ' Residential 

Parcel Number: ; 1749060000 _..j_.. _. 

Parcel Address: i2418MARYST 

j OMAHA NE 68112-0000 

Legal Description: i MINNE LUSA LOT 7 BLOCK 5 44 X 120 

Value Information 

2007 

2006 

2005 

2004 

2003 

2002 

Land

$5,900.00

$5,900.00

$5,900.00

$5,900.00

$5,900.00

$0.00

 ' Improvement 

!

 $38,400.00 

j $38,400.00 

i $38,400.00 

'• $36,600.00 

| $36,600.00 

' $0.00 

Total 

$44,300.00 

$44,300.00 

$44,300.00 

$42,500.00 

$42,500.00 

$0.00 

Sales Information 

Date Type Book Page Price 

Land Information 

Acres

0.12 

 i SF 

5280.0 

FF 

44.0 

Units 

1.0 

Depth

120.0 i

 Width

 44.0

 Vacant 

 No 

Land Attributes 

Attribute Attribute Description 

Improvement Information 

Building 1 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R 17... 6/22/2007 
Print Preview 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 

1749060000 

STESKAL 

VIRGINIA M 

241 8 MARY ST 

OMAHA 

68112 

2418MARYST 

OMAHA 

NE 

68112 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Assessor 

Website Link 

33-16-13 

MINNELUSA 

5 

7 

44X120 

http://douglasne. mappingonline. com/DouglasCoNe/static/accountinfo.jsp? 

accountno=R1 749060000 

Disclaimer Map and parcel data are believed to be accurate, but accuracy is not Map Scale guaranteed. This is not a legal document and should not be substituted for a title search, 1 inch = 100 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas County-... 6/21/2007 
Douglas County Page 1 of 2 

Douglas County, Nebraska Property Record -

Information is valid as of 2007-5-9 

Values not finalized until after Board of Equalization 

 R1749060000 

Print Report 

View on Map 

Owner 

STESKAL VIRGINIA M 

2418 MARYST 

OMAHA NE 68112-0000 

Property Information 

Key Number: 4906 0000 17 

Account Type: \ Residential 

Parcel Number: I 1749060000 

Parcel Address:

Legal Description:

 2418 MARYST 

'• OMAHA NE 68112-0000 

 MINNE LUSA LOT 7 BLOCK 5 44 X 120 

Value Information 

2007 

2006 

2005 

2004 

2003 

2002 

Land 

$5,900.00 

$5,900.00 

$5,900.00 

$5,900.00 

$5,900.00 

$0.00 

Improvement 

$38,400.00 

$38,400.00 

$38,400.00 

$36,600.00 

$36,600.00 

$0.00 

: Total 

$44,300.00 

$44,300.00 

$44,300.00 

$42,500.00 

$42,500.00 

$0.00 

Sales Information 

Date Type Book Page Price 

Land Information 

Acres

0.12

 SF 

* 5280.0 

FF 

44.0 

Units 

1.0 

Depth 

120.0 

Width 

44.0 

Vacant 

No 

Land Attributes 

Attribute Attribute Description 

Improvement Information 

Building 1 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfojsp?accountno=Rl7... 6/22/2007 
Douglas County Page 2 of 2 

Click to Enlarge Image 

Square Footage: i 934.0

 

Perimeter 0.0 

Unit Type: 

Built As: 1 1/2 Story Unfin 

HVAC: Forced Air 

Exterior: ; Frame Siding 

Interior: Drywall 

Roof Cover: : Composition Shingle 

Roof Type: | Gable 

Floorcover: Allowance 

Year Percent Year Built Remodeled Remodeled ....4­ 1921 0% 

Detail Type Detail Description 

Appliance Allowance 

Basement Bsmnt Block 8 ft 

Fixture [ Base Fixtures 

Fixture iBath Full 

Garage Detached 

Porch End Screen 

Ranch 

Click to Enlarge Image 

Percent Complete: 100.0% 

Quality: Average 

Condition: Fair 

Condo Square Footage: 0.0 

Rooms: 5.0 

Units: 1.0 

Baths: 1.0 

Bedrooms: 2.0 

Stories: 1.0 

Foundation: 

Sprinkler Square Footage: 0.0 

Adjusted Year Physical Age Built 

1921 83 

Units 

1.0 

934.0 

1.0 

1.0 

216.0 

104.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R17... 6/22/2007 
11

Page 1 of 2 

> 

Create Another Ticket Back to Irth Internet Send Email 

• YOUR TICKET NUMBE R IS 1823691. 

Original Call Date:

Work to Begin Date:

 6/22/07

 6/26/07

 Time: 11:55 am 

 Time: 12:30 pm 

Op: RAMITA18967 

State: NE 

Address: 2418 

County: DOUGLAS 

Street: MARY ST 

Place: OMAHA 

Twp: 16N Rng: 13E

Twp: Rng:

Legal Given: C 

 Sect-Qtr: 33-NE,34-NW 

 Sect-Qtr: 

Type of Work: SOIL BORING 

Location of Work: LOCATE ENTIRE PROPERTY 

Remarks: FAX ALL CLEARS TO: (402)504-1005 

Company : PRUDENT TECHNOLOGIES 

Contact Name: RAMITA SHRESTHA Phone: (402)504-1004 

Work Being Done For: EPA 

Depth of Excavation: 12 INCHES Corner Lot: N 

Involves Tunneling or Horizontal Boring : N 

Front: N

Explosives: N 

 Rear: 

CXCATV MAGELLAN MCI METRO MUD01 OMAHACOF OPPDGPR5
 

QLNNE1C SPRNTPCS
 

Service Area Contact Phone Number Utility 

Type 

CXCATV COX COMMUNICATIONS, INC HEIDI 

Day:

Alt:

 4029340469 

 4029340469 

Emerg: 4029329757 

MAGELLAN MAGELLAN MIDSTREAM 

PARTNERS LP TONYA 

Day: 9185747098 

Alt: 

Emerg: 9185747098 

MCI MCI NOCALLl'ER 

MEMO 

Day: 8002893427 

Alt: 

Emerg: 8002893427 

METRO METRO COMM. COLLEGE CHRIS 

Day: 4024572307 

Alt: 

Emerg: 4024572313 

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Page 2 of 2 

METROPOLITAN UTILITIES MUDOl EDWINA DISTRICT 

OMAIIACOF CITY OF OMAHA-TRAFFIC,SEWER RON 

OPPDC.PR5 OMAHA PUBLIC POWER DISTRICT NA 

QLNNE1C QWEST LOCAL NETWORK NA 

SPRNTPCS SPRINT SPECTRUM L P 

Day: 4025047823 

Alt: 

Emerg: 4025047946
 

Day: 4024447197
 

Alt: 4024445161
 

Emerg: 4024445160
 

Day: 4067289343
 

Alt:
 

Emerg: 8887289343
 

Day: 4067289343
 

Alt:
 

Emerg: 8887289343 

Day: 4025371800 

Alt: 4025371810 

Emerg: 8008776627 

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