## TRANSMITTALo f

OMAHALEAD SIT E SOI LREMEDIATIO NFIL EFOLDE R SAID# : '>lrCiA \Date : Address : ;>tSr^ ^ PA^V^|€ . ^ T 

### Remediatio nContractor : _Coasta l Environmenta l Group

_Year : _2011ARRA _ SOI LREMEDIATIO N PROPERT YFIL EFOLDE RDOCUMENT S • ^Vide o o f propert y (DVD ) IZ

TExecutiv e Summar y 0 EPA-provide dpropert y sketc h ^ Signe dAcces s Agreemen t fo r subjec t propert y - S ^ Signe dAcces s Agreement(s ) fo r adjacen t propert y ^ Restoratio nAgreemen t - B " Settlemen t document s (i.e. , for damag e o r t o replac e plants , etc. ) T T Confirmatio ndat a

y Photograph s Vf ^ ^yCfKiPr^Q^ V ^ypt^i/lT^^l? ^ Y ^^ ^ gK As-buil t sketc h S /

Satisfactor y restoratio nsigne db y Propert y Owne r UPropert y close-ou t chec k lis t signe db y EP A -H

—Descriptio no f area s no t meetin g RO D cleanu p criteri a B /

Utilit y clearance s 

# J Propert y informatio nfro mDougla s Count y Assessor' s Offic e 

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## ^^,^-L/^^Ml g Fax : Cell/Pager :

nNotificatio nLette r S ^ Acces s Agreemen t *Q ^ Restoratio nAgreemen t dl l Topsoi l Samplin g (i f applicable ) D Disposal Samplin g (i f applicable ) D Garde nSamplin g (i f applicable ) ' D Utility Clearanc e '^ "HlVideo/Photo s (Before )

'nVideo/Photo s (During ) nVideo/Photo s (After ) nVideo/Photo s (30-Day ) Q Propert y Completio nAgreemen t D Fina l Repor t Ai r Monitorin e (a s appUcable )
• Community • Cre w On : Results :

• Community • Cre w On : Results :

• Community • Cre w On : Results : Sent : / nWOR K STARTE D ON : __/__ / nWOR K COMPELTE D ON : / / " Renter : Phone : Fax : Cell/Pager : Additiona l Information :

/ By : 

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Omah a Lea d Sit e

### Dougla s County Accoun t In:' " natio n Pag e 1 of 2 Dougla s County , Nebrask a Propert yRecor d ­ R194507000 0 Informatio n i s vali d a s o f 2010-8-3 0 Ne wFeatur e - > - > •- > Prin t Report , Vie wInteractiv e GI S Ma o

Treasurer' s Ta xRepor t Subdivisio n Sale s Searc h Owne r CITYO F OMAH A 0/ 0 CITYFINANC E 1819FARNAMS T OMAH AN E 68183-000 0 Propert yInformatio n Ke yNumber : 450 7 000 0 1 9 Accoun t Type : E xGovernmen t Parce l Number : 194507000 0 Parce l Address : Lega l Description : 252 6 PARKE R S T OMAH AN E 68111-000 0 PARKER S AD D LO T9 BLOC K5 E 1/ 2 3 0 X 12 6 Valu e Informatio n 201 0 200 9 200 8 200 7 200 6 200 5 Lan d $0.0 0 $0.0 0 $0.0 0 $0.0 0 $900.0 0 $900.0 0 Improvemen t $0.0 0 $0.0 0 $0.0 0 $0.0 0 $0.0 0 $0.0 0 Tota l $0.0 0 $0.0 0 $0.0 0 $0.0 0 $900.0 0 $900.0 0 

### Sho wAl l Transaction s

Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0.0 8 3780. 0 1. 0 126. 0 30. 0 Ye s



### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R194. . . 9/2/201 0

### 3/31/201 1 www.dhon.org/irthinternet/DHONNotic.
. . Creat e Anothe rTicke t Bac k t o irt h Inteme t ] f Sen d Emai l



## • YOURTICKE T NUMBE RI S 2700326 . Origina l Cal l Date : 3/31/1 1 Time : 3:3 6 pm Op : ALFONSO1879 0 Wor k t o Begi n Date : 4/04/1 1 Time : 4:0 0 pm State : N E County : DOUGLA S Place : OMAHA Address : 252 6 Street : PARKE R S T Twp : 15 NRng : 13 E Sect-Qtr : 16-N E 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 : FA X AL L CLEAR S TO : (402)934-281 1 : PLEAS E INCLUD E AL L EASEMENT S Company: COASTA L ENVIRONMENTA L SERVIC E Contac t Name : ALFONS O Phone : (402)934-283 7 Wor k Bein g Don e For : Coasta l Dept h o f Excavation : 4f t Corne r Lot : NFront : Y Rear : Involve s Tunnelin g o r Horizonta l Borin g : NExplosives : N CXCATV LEVEL 3 MUDO l OMAHACO F 0PPDGPR 5 QLNNEI C


## Servic e Are a Contac t Phon e Nwnbe r 

## Utilit y lyp e CXCATV CO X COMMUNICATIONS , IN C HEID I Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7 

## LEVEL S LEVEL S COMMUNICATIONS , LLC 

## N A Day : 877366834 4 Alt : 

## Emerg : 877366834 4 MUDOl METROPOLITA NUTILITIE S DISTRIC T SAND Y MUD Day : 402504782 3 Ai : Emerg : 402504797 0 OMAHACO F CITYOFOMAHA
TRAFFIC,SEWER RICH/TRAFFI C Day : 402444719 7 Al : 402444516 1 Emerg : 402444516 0 dhon.org/irthinternet/.../MessageText.as..
. 

### 1/ 23/31/201 1 ' www.dhon.org/irtliinternet/DHONNotic..
. 

## ^T,i,T^^i.T, c 0PPDGPR 5 OMAHAPUBLIC POWER ^j^^^ ^ EL M ^^^^^ ^ - Day : 406728934 3 

## Alt : 406207149 4 Emerg : 888728934 3 QLNNEI C QWES T LOCALNETWOR K FTM TM\^T ^ LOCAllN O Day : Alt : 406728934 3 406207149 4 Emerg : 888728934 3

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# As-Buil t Drawin g COASTA L • NVIBOailtCNTA L 

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RIGH TO F EIVTR YTO PREIV/JISE S 

### Granlo i .(th e property ' owner) consenl Kt o an d authoiize s th e Unile d Slate s Environmenta l Protectio n Agenc y(F:PA ) o i its authorize d representatives , collectivel y th e Grantee , t o ente ran d perfor m certai n environmenta l respons e activitie s upor i th e followin g describe d premises : ^ J^c/ /
Ov/ncr' s Wame : ^ . Daytime Phone ; , . ^ 

## Oi'^' < 0 ^ PA/IAH A
Addres s o fPropert y covere d b ythi s 

### '2,5'Z ^ '?Pr(2,tC^£ . ^r . Agreement : PURPOS E O F RESPONS E ACTIVITIE S 

### Th e EPAi s requestin g acces s t o collect soi l sample s an d remove soi l that contain s elevate d concentration s o flea d an d maypos 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 be replace d wit h clea n material s an d th e are a wfl 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 byUSEPA , wil l contact th e Granto rin-perso n t o discus s th e wor k t o b e performed , th e Granto rwil l have 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 EPAtha t th e property has bee n remediated
. ENVIRONMENTA L RESPONS E ACTIOIvi S 

### B

ysignin g thi s Acces s Agreement , th e Granto ri s grantin g th e EPA , its employees , contractors an d subcontractor s th e righ t t o ente rth e properly , a t al l reasonabl e time s an d vyit h prio rnotice , fo rth e sol e purpos e ofperformin g th e wor k Thi s acces s shal l remai n i n effect unti l th e wor k ha s bee n satisfactoril ycompleted
. Th e Granto rals o agree s to :
Pag e 1 o f2c; 0 As 1 Ai
C R O L' ' ' *• • C 

### < Remov e obstruction s inc!uriii-i Q boats , liaileis , vehicles , playscap e iiemf; , woo d piles , do g houses , etc ; ( F^emove flov/e rbulb s o i plant s tha t Ih e Granlo i o rth e Grantor' s tensn l ma ywis h t o save ; •. Wate ran d maintai n replacemen t vegetation , includin g feiiilize rappiicstion , as necessary ' subsequen t t o a n initia l Vv'aterin g perio d b yEPA ;
' Abid e b yhealt h an d safet yguidanc e provide d b yEPA ; ( I fth e property ' i s rented , assis t EP Ai n obtainin g tenant approva l fo i acces s l o th e property ' t o perfor m th e work
. «. Allo wvideotapin g and/o rphotographin g o fth e properly
. 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 aclivities , o i wit 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 l o us e th e propert yi n suc h a manner . Shoul d yo u have
. an yquestion s abou t thi s program , pleas e contac t Coasta l Environmenta l Group , a t (402 ) 991-119 9
^

\ gran t acces s t o m ypropertie s D I d o no t gran t access t o mypropertie s
/0-iH'(( P ignature Dat e Signature Dat e

• \ woyi d lik e t o b e ptesen i durir.j s an yssmplin o iha t i s tecfuired
.

Paa e 2 o f 2C O A- S TA. U 

## Restoratio n Agreemen t Th e purpos e o f thi s agreement i s t o provid e amutual agreement a s t o condition s o f th e property prio r t o remediatio nactivities . Thi s wil l als o serv e a s documentatio nfo r th e purpos e o f assurin g that restoratio n activitie s ar e complete dt o th e satisfactio no f th e property owner andth e Unite dState s Environmental Protectio nAgenc y (EPA) .

Property ID : MW5Q7^Qg O XIQH ( PropertyAddress : ^^ ^ Pfl^KiLi^ 6r . Owner : Cir' i C F OnoAy^ A 

### Phone : HHH'^t'^ 6 Onth e attache ddiagram(s ) indicate area(s ) to excavate , surfac e structure s andlandscapin g feature s and acces s location(s ) t o b e use db y th e contractors . Indicate distances , depths , materia l types , etc . Photographicall y an dVideographicall y documen t th e existin g condition s ofth e propert y andth e basement if necessary . Item s t o b e Remove d b yth e Owne rbefor e Star t o f Remediation : Th e removal , storage , disposal , and/o rretur n o f thes e item s i s th e Owner' s responsibilit y



### Item s t o b e Remove d b yth e Contracto rDurin g Remediatio n an d No t Replace d

Pag e 1 of
.C C AS T/^ L CNVIRONHINTAI
. C n O U P
. INC
. 

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

Landscap e Inventor y Ite m Quantit y Uni t Condition/Type/Specie s Pre-existin g property area , Quadrant s tha t will b e excavated , tha t 

# 5 z i s covere dwit hgrass . Number o f tree s > 2 inc h Eac h 

# ' b trunk diameter Number o f tree s < = 2 inc h Eac h 

# 0 trunk diameter Number o f Sprinkler Zones , Contro l Valves , Eac h Timers , Heads , etc . Attac ha.sketc hof tlie .sprinkle r layout . Number of andsiz e o f eac hgarden / flowe r be d Eac h area . Square Fee t Attachasketc hof ielaii\ e size s an dlocations . Agree dupo nvalu e of plan t material s no t to b e replace db v contractor . Note thi s valu e will b e iLse dt o issu e nplan t Miuclie r I

dth e propert y owner . Easement Area , to b e Eac h excavate d 

# Y i^j^r
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# r w /CUMjy ^ Pag e 2 of
.C O AS TA
. L C » O U P , IN C 

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



## Ite m Pre-existin g property area , tha t will b e excavated , tha t i s covere dwit hgrass . Number o f tree s > 2 inch trunk diameter Number o f tree s < = 2 inc h U^in k

diameter Number of Sprinkler Zones , Contro l Valves , Timers , Heads , etc . .Attac ha.sketc hof tiie sprii^le r layout . Number o f andsiz e o f eac hgarden / flower be d area . Aiiacl i asketchof reiati\ e size s an dlocations . Agree duponvalu e of plan t material s no t to b e replace db v contractor . .Vot e thi s valii f will he i.i^e dlo issu e aplan t Miiiclie r I

dth e properl y ()>viic'r . Easement Area , to b e excavate d 

## Quantit y 

# 5 z

" ^ 

# 0 

# y y 

# y

4- ^ Landscap e Inventory Uni t Quadrant s

Eac h Eac h

Eac h

Eac h Square Feet

$

Each 

## Condltion/Type/Specie s

/•t?^ ^ yyjUMyy U Pag e 2 of
.

### . ! ^ . C O AS TV b L
• NVIRONMINTA L CROUP , INC
. Additiona l Comment s / Instructions : Th e cit yo fOmah a ordinance s ma yprohibi t yo u fro m usin g dir t o rgrave l area s o n you rpropert y a s driveway s o rvehicl e parkin g areias
. Th e Environmenta l Protectio n Agenc y(EPA) ma yb e removin g an d replacin g soi l underlyin g a grave l o rdir t are a o n you rpropert ytha t yo u ma yb e usin g a s a drivewa yo rvehicl e parkin g area , ffthi s i s th e case , yo u shoul d understan d tha t thi s removin g an d replacin g o fsoi l doe s no t mea n tha t an yiliega l drivewa yo rparkin g are a o n you r propert yi s mad e legal
. T o th e contrary , yo u ma yb e cite d b yth e cit yi fyo u us e a grave l o rdir t are a a s a drivewa yo rparkin g area , no t withstandin g an yremova l o rreplacemen t o fsoi l b yth e EPA
. I fyo u hav e an yquestio n abou t legalit yo f a certai n drivewa yo rparkin g area , yo u ma ycontac t th e cit yo fOmaha' s Plannin g Departmen t a t (402 ) 444-5150 . [ J Pleas e chec k thi s bo xi fyo u understan d th e informatio n outline d above
.

• Chec k th e bo xi f Owne rdoe s no t wan t CE G t o documen t interio rfoundatio n wall s an d possibl e pre-existin g damage
. B ycheckin g thi s bo xCE G i s no t responsibl e fo ran ydamag e don e t o th e interio ro fhouse , includin g foundatio n crack s o rfissures
.

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## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 6 3 Mod e SOI L Tim e 2011-04 " Duratio n 92.8 4 Sequenc e Fina l Flag s AVERAG E Av g o f60-6 2 ADDRESS ' 252 6 parke rSFT f QUADRAN T B 2 ' DEPH T :6 " XRFTEC H N
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# TKerm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1 

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## w C u 48.97 9 ± 24.35 3 N i < LO D 83.60 1 C o < LO D : 207.47 0 Fe 21937.05 7 ± 440.21 4 M n 586.57 4 ± 114.59 5 Supervise d By :-

' • - ^ 

# Therm o

SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E
pp m M o < LO D Z r 456.22 4 S r 169.02 3 U < LO D R b 71.64 4 T h 24.01 7 P h S e <LO D A s < LO D H g < LO D Z n 255.37 3 W < LO D C u 61.14 5 N i < LO D C o < LO D Fe 22471.49 2 1 M n 589.77 2 Supervise d E Sy : 

## Certificat e o fVerificatio n

6 1 SOI L 2011-04-2 2 14:0 6 31.3 2 Fina l 2704 1 252 6 parke rs t B 2 6 " N
. LOPE Z confirmatio n non e

± Erro r : 8.18 6 ± 16.46 1 ± 9.29 3 16.39 7 ± 7.08 7 ± 10.60 3 _i4.41 1 6.42 0 31.83 5 13.30 1 ± 27.79 5

: 91.49 2 ± 25.22 9

• 81.28 4 212.64 3 ± 446.05 8 ± 115.22 9

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1 

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 6 2 Mod e SOI L Tim e 2011-04-2 2 14:0 7 Duratio n 30.8 0 Sequenc e Fina l Flag s BVI D 2704 1 ADDRES S 252 6 parke rs t QUADRAN T B 2 DEPH T 6 " XR F TEC H N
. LOPE Z MIS C confirmatio n NOT E non e
pp m Erro r M o < LO D 8.35 7 Z r 460.05 5 ± 16.55 3 S r 181.32 8 ± 9.60 0 U < LO D : 16.16 2 R b 66.76 6 ± 6.88 8 T h ^^K^c ; nna . +

_ 25.61 8 

## P

h i y• 6.65 9 S e < LO D A s < LO D 33.21 0 H g < LO D 13.88 5 Z n 307.60 6 ± 30.37 8 W < LO D 100.59 6 C u 52.56 9 ± 24.59 1 N i < LO D \ 79.26 2 C o < LO D 204.64 7 Fe 22358.76 8 ± 444.86 1 M n 653.15 5 ± 119.80 6 Supervise d By :

### Omah a Lea d Site—Fixe d Pric e EP-R7-09-0 6 Coasta l Environmenta l Grou p Inc
. 

## k \ ^ ^ www.coastalgrp.ne t COASTA L III«l>ONNINT» L C lO U P
. IN C 

# EXECUTIV ESUMMARY : BVID #2704 1 - (252 6 Parke r St) No Issue s o r Concern s I I Issues/Concern s Detail Explanation : DA NGARVE Y WALKE D TH EPROPERT Y O N5/5/1 1

## Propert yCompletio n Agreemen t Ihi i ayicemc m documents th e completio n o l remedia l aciiviiie s perloime d n n mypiopert yfvl ysignaim e w(t i designat e lha l I a m saiisfie d »vi( h th e rtfioialio n o fm ypropeily
. an d tha i n n item s ar e i n quc^lioiL i now , o ra l an ylim e i n th e future , excep l ihos e Hem s liste d below , ifan y Propcrr yrn ; *^7t?t-( ( Propcrf yAddrm : gS"3 ^

9 f^^Jjj ^ 'S T Otvn c Phon e 

# isa ^ Restoratio n Item s i n Question :

Item : )lem : Item : Item : Item : Item ; j Additiona l Comments :

Cl ^ I xyc rirstortilio n \ \ completed , rtccp l a s noier i [_J I rio nn l niti't crrjior»tion
. i.\ cornpletcr i

Cimtiarloi' s Signatur e

### 4 ^ 

# EP A EP APropert y Clos e Ou t For m Propert y# : 

# ZTdH l Propert y Address : 

## .^S^S-J S 

# W ^ ^ Detc/Tlroe : Owner' s Name : 

# 5^^ ^ Quad s Excavated* . Contracto r Grou p Excavatio nGeaera l 1 . I f necessary , wer e th e correc t quadtwt{s ) excavate dan drestored ? 2 . I f necessary , wer e th e corrvc i area s o f dri p zon e excavate dan drestored ? Yes / / N o

Yes M o Gradlo K So dan dVegetatio B I . Doe s th e gradin g aroun dth e perimete r ofth e hous e i nexcavate darea s generall y slop e away 

# Z fromth e house ? ____ ^ 2 . Ha s so dbee nlai di nal l area s that wer e excavated ? 3 . Doe s th e so dappea r to b e generall y health y an dgrowing ? (Onl y evaluat e i f Inspecte da t a3 0 

# y da y tim e period ) 4 . Ar e sodde darea s generall y rir man devenl y graded ? / 5 . Ar e th e joint s betwee nth e so dstrip s generall y tight ? (Onl y evaluat e i f inspecte da t a3 0 da y 

# 7 tim e period ) 6 . Wa s th e property grade dsuc htha t wate r wil l not poo l onth e property ? 

# r 7 . Wa s damag e l o landscapin g o r plant material s avoided ? 

# - y Gates , Fence s an dReUinin c Wall s Ve s N o I . O o gate s ope nan dclos e freely? (i f applicable ) / 2 . Wer e al l gate s o r fence s take ndow ndurin g restoratio naclivitie s reinstalled ? (I f applicable ) 

# y 3 . Wa s damag e t o gate s o r fence s avoided ? (Ifapplicable ) 

# y 4 . Wa s damag e t o retainin g wall s avoided ? (Ifapplicable ) 

# y Foundation , SidiOKan dGntler s Yes .N o 1 . 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 ? / 3 . Wa s damag e t o window s avoided ? / 4 . Wa s damag e t o window s o r doo r screen s avoided ? / 5 . Wa s damag e t o downspout s o r downspou l extension s avoided ? / Sidewalk s an dDriveway s (Concrete ) N o 1 . Wa s damag e l o drivewa y surface s avoided ? 2 . Wa s damag e t o walkwa y surface s avoided ? 

# yr~ 

## Ort'oer s comments :

Inspectio nnotes :

Remova l an dresiorationaciivate s complet e includin g th e 30-da y so dwarranty : EP ARepresentative 9" ^ f ^ Date : fl^'j L