Transmittal of Omaha Lead Site 

Paint Stabilization File Folder 

Said# 7^^f^ ^ Date: ^-p-7-/ 0 

Address: /f// V Ps>r^€^ sA , ^ 

Contractor: Citv of Omaha Year: 9-0 / O 

Paint Stabilization 

Property File Folder Documents 

^Work Write Up 

6Xsi Signe , d Access Agreement for subject property 

Pre-Renovation form signed by Property Owner 

Pre-Renovation Form for Occupant/Tenant, ifapplicable 

ly Painting Agreement/City of Omaha Purchase Order 

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

Renovation Recordkeeping Checklist signed by Certified Renovator 

t^^roperty information from Douglas County Assessor's Office 

pothe r (describe): T'^Q^' F^< ^ 

City of Omaha Representatip Signature Date 

EPA Representative Signature ' Date' 

30262464 

mmniiiiii 

Superfund 
CITY OF OMAHA 

PURCHASING - ROOM 1003 Purchase Order 

1819 FARNAM STREET 

PURCHASE ORCER NO. REVISION PAGE 

OMAHA, NE 68183-1003 

1165341 0 1 

FAX# 402-444-5423 

SHIP TO: 

CITY OF OMAHA 

HOUSING & COMM DEV RM #1111 

1819 FARNAM STREET 

OMAHA.NE 68183 

MARCOS PROFESSIONAL PAINTING VENDOR: . y BILL TO: S

CITY OF OMAHAFINANCE 

MARCO A SALAZAR 

2514 J ST DISBURSEMENTS ROOM #1007 

OMAHA, NE 68107 • 1819 FARNAM STREET 

OMAHA,NE 68183 

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

"A CUSTOMER ACCOUNT NO. VENDOR NO. DATE OF ORDER/ BUYER REVISED DATE/./BUYER 

81569 28-APR-10 H HUR T 

PAYMENT TERMS SHIP VIA F.O.B. 

IMMEDIATE DESTINATION 

FREIGHT TERMS REQUESTOR/DELIVER TO CONFIRM TO / TELEPHONE 

MARUCA, T MARIE 

>- < ITEM PART NUMBER / DESCRIPTION DELIVERY DATE QUANTITY UNIT UNIT PRICE EXTENSION 

All prices and amounts on this order are express sd iri : US Doi: ar 


NEEDED: 7,676.0 0 N 

28-APR-lO 

EPA PAINT STABILIZATION 


PROGRAM GROUP 95 1414 • 
 DORCAS ST, 1416 DORCAS: 


ST, 1423 S 6TH ST, .1931 


S 9TH ST, & 624 DORCAS: 


ST : 


O SHIP TO:. i 


Address at top of page 


SHIP TO: Address shown above. If shipment is delayed or any items not available, advise at once. Purchase order number must appear on all invoices, packages, packing lists, bill of lading, and correspondence. 

SHIPPING CHARiSES TO BE PREPAID, IF APPLICABLE AND ADDED TO INVOICED, copy to be fur-, 

nished with invoice. 

Total C 7,676.00 3 

TAX EXEMPTION: The City of Omaha is exempt from Federal Excise Taxes and the Nebraska and City of 

Omaha Sales Taxes. Federal I.D. 476006304; STATE I.D. 0V0316768: Fuel Dealers Lie. 91-0316768. 

V^ ' • Cily Punihasing Ageli MJBU Buye I r 
S^i 

Planning Department 

Omaha/Douglas Civic Center 

Inspector: To m Roz a 1819 Famam street, Suite 1003 

T^-itB- ^X'/^\I\(\ Omaha,Nebraska 68183 

i^aie. J/ll/l U (402)444-5150 

Telefax (402) 546-0714. 

Name: Joaquin MaIdonado R.E. Cunningham, RA,F.SAME 

JiSLfd^M"ayor Address: 1414 Dorcas St .Director 

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 Hazard Control Plan, Interim Control of Lead Based Paint Hazards. 

The Contractor Shall: 

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

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

• Comply with Standards called for in the "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 Sei^vices Regulation and 

Licensure, Title 178 Chapter 23 Lead Base Paint Regulations. 

• Coordinate daily construction schedule with the occiipant 

• Submit infbrmation cut sheets for all substitutions or approved equals prior to 

written approval of the Consti-uction Specialist. 

• Repair or replace all items dartiaged or disturbed during paint stabilization 

activities. 

• Keep work site and surrounding areafreefrom accumulations of waste materials 

or rubbish 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 all parts ofthe work areas in a 

neat, sanitary, lead safe and presentable condition. 

• Complete this project within 30 calendar days. 

The Occupant/Ovwer Shall 

• Remove and store away any persoiiail property within twenty (20) feet of the area 

to be remediated. 

• Provide access to electricity and water throughout tht paint stabilization process. 

• Ensure that all household members stay at least ten teet away from all work areas 

and also keep all pets at least ten feet away at all times until the work has been 

completed and the area has passed a visual inspection. ^<-^y / 

r ^ 
1414 Dorcas St (Continued) 

Lead Hazard Control Plan 

Interim Control of Lead based Paint Hazards 

Paint Stabilization 

• Prepare and paint all previously painted exterior surfaces ofthe dwelling 

to include but not limited to the fascia, eaves, trim, window trim, door trim 

and foundation. Do not include doors or windows. 

• Prepare aiid paint all previously painted surfaces by following the Safe 

Work Practices protocol for EPA exterior lead based paint stabilization. 

• All paint colors to match existing paint pattem. Prime and apply two coats 

of approved finish coat. (Refer to Planning Dept. approved paint list) 

• IF SPRAYED, ONE COAT SHALL BE BACK-BRUSHED OR 

BACK-ROLLED. 

Lead Based Paint Waste 

Lead-based paint waste must be handled as follows 

• All 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 

a municipal solid waste landfill. 

Pro^rty Owner Date 

id-L^J^^/O 

Date 

Witness 

Date 

Occupant (ifapplicable) 

Date 

Occupant (ifapplicable) 

Date 

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

Omaha for EPA Region 7 

Omaha Lead Site 

The purpose 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 confractor 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, frim, window trim, door frim and foundation. 

• Surfaces will be primed and painted to ihatch 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 included. 

• Rotten wood will not be replaced. 

• No housing repair will be done. 

Who will perform the 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 and will continue for several years. 

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

six if known and the severity of the problem. 

Pairit Stabilization is voluntary and will be done only with permission ofthe owner. 

InitialCj^i^ 
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, colleiitively the Grantee, to enter and perform 

certain environmental response activities upon the following described premises: 

Owner's Name: Davtime Phone: 

Owner Name(s): Joaquin Maldonado 402-505-3039 

Addresses of Properties Covered by this Agreement 

. Property Address 

City/State/Zip Code 

1414 Dorcas St. 

Omaha, NE 68108 

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

Environmental Response and Liabilitv Act f CERCLAl 42 USC: &. 9601-9675! or anv other law. 

PURPOSE OF ACCESS 

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

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

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

Grantor's property and ftirther, provides the Grantee the right to perform any and all environmental 

response actions, and activities it deems appropriate. 

ENVIRONMENTAL RESPONSE ACTIONS 

The envirorunental response actions to be performed on subject property may include the follovring 

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. 

2/12/2007 (1) 
Address: 1414 Dorcas St. 

Consent for Access to Propertv (Page 2) 

3. Planning and implemeiiting the response action oti the Grantor's property. This will include 

1) reitioval of loose or flaking paint 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 

envirorunental response activities. Upon completion of the resporise 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 interfere with any ofthe activities undertaken by Grantee at the Property, 

tamper with any of Grantee's property, or take any actions regarding the use ofthe Property which 

will endeuiger human health or welfare or the envirorunent, or allow others to use the Property in 

such marmer 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 sanipling and/or analysis resulting 

from 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 for 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 

begirming of activities authorized by this Agreement, following completion of the response 

activities. 

(2) 2/12/2007 
Address: 1414 Dorcas St., Omaha, NE, 68108 

CURRENT CONDITION /.PROPOSED RESPONSE 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 States 

Environmental Protection Agency (EPA). 

Items to be removed bv propertv owner 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 grariting permission to 

the Grantee to enter the above described premises for the purpose of conducting envirorunental 

response activities, and I agree to its terms and conditions. I acknowledge that I have received the 

pamphlet "Renovate Right". 

Grantor's Signature '•^Jc^ j/MlJa^(^ P^^^3//5/^/^ 

(3) 2/12/2007 
Douglas County Account Information http://dougIasne.mapping-onlihe.com/DouglasCoNe/static/accountinfo., 

Douglas County, Nebraska Property Record - R2135120000 

Print Report 

NEW Feature - Parcel Qlmensions available Q scale 0-50 ft west of 52nd St - VJCW OH Ma P Information Is valid as of 2010-2-16 Treasurer's Tax Report 

New Feature r* .T# S* Auto Sales Search 

Owner 

MALDONADO JOAQUIN 

ETAL • 

1414 DORCAS ST 

OMAHA NE 68108-0000 

Property Information 

Key Number: 3512 0000 21 

Account Type: Residential 

Parcel Number: 2135120000 


Parcel Address: 1414 DORCAS ST 

OMAHA NE 68108-0000 

Legal Description: ROGERS -S E-ADD LOT 2 BLOCK 18 E 33 FT 33 X 100.4 

Value Information 

Land Improvement Total 

2009 $3,600.00 $67,600.00 $71,200.00 

2008 $3,600.00 $63,100.00 $66,700.00 

2007 $3,600.00 $63,100.00 $66,700.00 

2006 $3,600.00 $51,900.00 $55,500.00 

2005 $3,600.00 $51,900.00 $55,500.00 

2004 $3,600.00 $51,900.00 $55,500.00 

Sales Information 

Sales Date: 2000-06-19 

Deed Type: Book: 2157 Page: 477 

Price; $56,000.00 

Grantor 

Grantee: 

Valld/lnvalld: Valid 

Exclusion Reason: 

Sales Date: 2000-03-10 

Deed Type: WD Soofr; 2147 Page: 115 

Price: $18,000.00 

Grantor-

Grantee: 

Valid/Invalid: Invalid 

lof 3 3/2/2010 9:19 AM 
Douglas County Account Information http://douglasne.mapping-onIine.com/DougiasCoNe/static/accountinfo., 

Exclusion Reason: Financing Sellor/Special 

Sales Date: 1999-10-26 

Deed Type: 

Price: 

Grantor­

$19,900.00 

Book: 2138 Page: 630 

Grantee: 

Valid/Invalid: 

Exclusion Reason: 

Valid 

Land Informatio n 

Acres SF 

0.07 3300.0 

Units 

1.0 

Depth 

100.0 

Width 

33.0 

Vacant 

No 

Improvemen t

Building 1 

 Informatio n 

1414 Oorcas St RANCH 

fmtr^ir 

•» • 3119 

i7|-»-;,r ^ 

'iTf 

Bnmetsotit 9I:DHI I 

CLICK TO ENLARGE IMAGE 

Square Footage: 939.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Fair 

Unit Type: Condition: Average 

Built As: Ranch Condo Square Footage: 0.0 

HVAC: Central Air to Air Rooms: 5.0 

Exterior: Frame Siding Units: 1.0 

Interior: Drywall Baths: 1.0 

Roof Cover: Composition Shingle Bedrooms: 2.0 

Roof Type: Hip Stories: 1.0 

Floorcover: Allowance Foundation: Block 

Sprinl<ier Square Footage: 0.0 

Year Percent Adjusted Year Year Built Physical Age Remodeled Remodeled Built 

1913 0% 1913 97 

2 of 3 3/2/2010 9:19 AM