## Transmitta l o f Oinah aLea dSite Pain t Stabilizatio n Fil e Folde r Said #S^? h Date : ^"r^^
- C ^ Address : P^^ 3 /y^^h^CA^C ^ t> f Contractor : Cit

y o f Omah a Year : ^CrO< ? 

## Pain t Stabilizatio n Propert y Fil e Folde r

Document s ty^oxV . Writ

e U p L'"'^igne d Acces s Agreemen t fo r subjec t propert y Pre-Renovation for

msignedb

y Propert y Owne r Pre-Renovation For

mfo r Occupant/Tenant , ifapplicabl e t ^ Painting Agreement/Cit y o f Omah aPurchas e Orde

r Settlemen t documents (i.e. , fo

r damage o r t o replac e plants , etc. ) Renovation Recordkeepin

g Checklis t

signe db y Certifie dRenovato

r \ / Propert y informatio

n fro mDouglas'Count

y Assessor' s Offic

e t y Othe r (describe) : _JJM2 5 

### T^ M 

### ^

' ^ ^ 

### Cit y o f Omah aRepresentative Signatur

e EP A Representativ e Signatur

e _ 3026243 0 Superfun d 

### 3 '-/S~-7>
- Dat e / Dk e

### Plannin g Department Inspector : Bo b Pickera l Omaha/Dougla s Civi c Cente r 1-4 * \>f

- 7 inn o 181 9 Fama mStreet , Suit

e 100 3 Date : Ma y 7 ,200 8 ^ ^^^ ^ Nebrask a6818 3 0*^* ^ (402 ) 444-515 0 

## Name : Mary Brow n Joy^o n g, ^ J;J"111'''^°C P Cit y o f Omah aAddTCSS : 244 3 ManderSO RSt . '*''^ " ''"""Directo r Mik e Fahey , Mayo r 

## OMAH A EXTERIO RPAIN T STABILIZATIO N PROGRA M

FO RTH E EP A OMAH A LEA D SIT E Th e Contrac t

bi ddocument s consis t

o f th e followin g sections : • Genera

l Responsibilitie s fo

r the Contracto

r an dOccupant . • Lea dHazar dControl Plan , InterimControl o f Lea dBase dPain t Hazards . Th e Contracto r

Shall : • Compl y wit h HUD' s "Guideline s fo

r th e Evaluation an

dControl o

f Lead-Base

d Pain t Hazard s i n Housing. " (Copie s ar

e availabl e a

t the Planning Department. ) • Compl y wit h Standard s calledfo

r i n the "Construction An

dRehabilitation Specifications , Housing an

dCoinmunit

y Developmen

t Division , Cit

y o f Omaha, Nebraska: " (Copie s ar

e available a

t th e Planning Department. ) • Compl y wit h the Stat e o f Nebrasjk aHealt h an dHuma n Service s Regulation an

d Licensure , Titl e 17 8 Chapte r 2 3 Lea dBas e Pain

t Regulations . • Coordinat

e dail y construction schedule wit h th e occupan t • Submi t informatio n cut sheets fo r al l substitution s o

r approve dequal s prio

r t o writte n approva l o f the Rehabilitation Inspector . • Repai r or replac e al l item s damage

do r disturbeddurin

g construction . • A t all time s kee

p th e sit e o f wor k an dsurrounding areafre

e fro maccumulation s o f wast e material s o

r rubbish causedb

y th e work . • Upo n dail y completion o

f wor k clea n u p al l rubbish , exces s material , equipment , an detc. , tha t i s connectedwit

h the work, an

dleav e al l parts o f th e wor k area s i n a neat , sanitary , lea

dsaf e an dpresentabl e condition . • Complet

e thi s projec

t withi n 3 0 calenda

r days . Th e Occupan

t Shal l • Remove an

dstor e awa y an y persona l propert y withi n twent y (20) fee t o f th e are a t o b e remediated . • Remove voluntee

r tree s an dvegetation fro

mthe dri p line o f th e roof , an dcu t bac k shrub s ati dbushe s a t leas t tw o fee t fro mthe hous e an

dgarage . • Ensur e tha t al l householdmembier

s sta y a t leas t te n fee t awa y fro mal l wor k areas an dals o kee p al l pets a t leais t te n fee t awa y a t al l time s unti

l th e wor k has bee n completedan

dth e are ahas passedavisua

l inspection . ^



## Initial s AiO£ >

### Addres s (continued) 244 3 Manderson St .



## Lea dHazar dContro l Pla n Interi mContro l o

f Lea dbase dPain

t Hazard s Pain t Stabilizatio n • Prepar e an dpain t al l previousl y paintedexterio

r surface s o f th e dwelling t o includ e the fascia , eaves , siding , trim , windo w trim , doo

r tri man d foundation . D o no t

pain t window s o

r doors . • Prepar e an dpain t al l previousl y painte dsurface s o

f the fron t porch . • Prepar e an dpairi t al l previousl y paintedexterio

r surface s o f th e garag e i f applicable . • Al l pain t color s t o matc h existing . Prim

e an dappl y tw o coats . • Se e plannin g Department' s lis t

o f approve dpain t product s fo

r lea d projects . 

### Lea dBasedPain

t Wast e Lead-base dpain t

wast e mus t

b e handle da s follow s

• Al l pain t chip s an dcomponen

t debri s mus t

be doubl e baggedfo

r disposal . • Clea n pain t chip s befor

e starting , during an

dafte r th e project . • All lea dpaintedcomponents an

ddebri s mus

t be remove dfro mth e sit e dail y unles s otherwis e approve

db y the constructio

n specialist . • Al l lead-base dpain t debri s (chip s an

dcomponents ) must

be disposedo

f i n amunicipa l soli dwast

e landfill . Propert y (>vne r Propert y Owne r Dat e Witnes s Dat e Occupan t (i f applicable ) Dat e Occupan t (i f applicable ) Dat eConsen t fo r Acces s t o Propert y RIGH T O F ENTRY T O PREMISE S Granto r (th e propert

y owner ) consent s t o and . authorize s th e Unite dState s Environmental Protectio n Agenc y (USEPA ) o r

it s authorize drepresentatives , collectivel y th e Grantee , t o ente r an dperfor

m certai n environmental respons e activitie s upo n th e followin g describe dpremises : Owner' s Name : Owne r Name(s) : Mar

y Brown-Jbh^so n Davtime Phone : 763-925 2

Addresse s o f

Propertie s Covere db y thi s Agreement Property Addres s 244 3 MANDERSO N S T City/State/Zi p Cod e Omaha , N e

Granto r understand s tha

t thi s grant

doe s no t limi t EPA' s right

o f acces s unde r

th e Comprehensiv e Environmenta l Respons e an dLiability Ac t (CERCLA') . 4 2 USC . & 9601-9675 . o r anv othe r law . PURPOS E O F ACCES S Th e purpos e o

f th e respons e actio n i s t o stabiliz e loos e o r flakin g exterio r

lead-base dpain t

o n residentia l properties , includin g day-car e facilities , where remediatio n of lea dcontaminate dsoi l ha s o r wil l tak e place . Samplin g of soi l ma y b e conducted . Thi s consen t shal l allo w Grante e onto Grantor' s property andfurther , provide s th e Grante e th e right t o perfor many an dal l environmental respons e action s an dactivitie s i t deem s appropriate . ENVIRONMENTA L RESPONS E ACTION S Th e environmenta l respons e action s t o b e performe don subjec t propert y ma y includ e th e followin g activities : 1 . Locatin g equipmen t

and/o r machiner y o n subjec t

propert y i n preparatio n fo

r an di n th e cours e o

f th e respons e activities . 2 . Obtainin g sample s fromGrantor' s property .



### m 2/12/200 7Address : 244 3 MANDERSO N S T

Consen t fo r Acces s t o Propert

y (Pag e 2 ) 3 . Plannin g an diniplementin g th e respons e actio n on th e Grantor' s property . Thi s wil l includ e 1 ) removal of

loos e o r flakin g pain t

identifie db y EP A usin g lead-saf e method s i n complianc e wit h HUD/EP A regulation s an d2 ) repaintin g accordin g t o th e attache dspecifications . TER M Thi s acces s agreemen t

shal l b e operabl e for

th e perio do

f time i t take s t o complet e the environmenta l respons e activities . Upo n completio n of th e respons e actions , al l rights an d privilege s give n b y th e Granto r shal l ceas e on that

date , unles s extended . by asubsequent agreement . AGREEMEN T NO T T O INTERFERE Granto r agree s no t

t o interfere wit

h any o f th e activitie s undertake n b y Grante e a t th e Property , tampe r wit h an y o f Grantee' s property , o r

take any action s regardin g th e us e o f th e Propert

y whic h wil l endange r

human healt

h o r welfare o r

th e environment , o r

allo w other s t o us e th e Propert y in suc h manne r

durin g th e termof

thi s consent . Granto r

agree s to provid e notic e an dacop y of thi s agreemen t t o prospectiv e purchasers , lessees , assigns , o r grantee s of

th e propert

y o r any portio n o

f it . Granto r

agree s t o provid e 30-day notic e t o EP A prio r t o any transfer

of ownershi p rights t o th e property . SAMPLIN G RESULT S Grante e agree s t o provid e Granto r wit h th e result s of

an y an dall samplin g and/o r analysi s resultin g fro mGrantee' s respons e activitie s o n th e property . PRIO RCONDITION S AGREEMEN T Th e granto r

agree s t o th e conditio n of th e property prio r

t o remediatio n an dindicate s o n Pag e 3 an y item s t o b e remove db y th e Granto r before activitie s commence . RESTORATIO N O F PROPERT Y Excep t for th e abov e state dpain t

stabilization , th e Grante e agree s tha t sai dpropert

y wil l b e restore d a s nearl y a s possibl e t o it s original stat e an dconditio n a s foundimmediatel y precedin g th e beginnin g o f

activitie s authorize db y thi s Agreement , followin g completio n of th e respons e activities .

(2 ) 2/12^00 7

### Address : 244 3 MANDERSO N ST , Omaha , Ne ,

CURREN T CONDITIO N /

PROPOSE D RESPONS E ACTIVmE S Th e puipos e o f

thi s sectio n i s t o provid e amutua l agreemen t a s t o condition s o f

property prio r

t o contracto r activities . Thi s wil l als o serv e a s documentatio n for ' th e purpos e o f assurin g tha

t restoratio n activitite s ar e complete dt o th e satisfactio n o f th e property owne r

an dth e Unite dState s Environmenta l Protectio n Agenc y (EPA) . Item s t o be remove db y propert v owne r prio r t o th e respons e activities : 1 . 2 . 3 . 4 . 5 . , Item s NO T t o be remove db y contracto r durin g remova l activities : 1 . 2 . 3 . 4 . 5 . ADD I riONA L COMMENTS : 

# 1. x ^•^V , • -

^ il : 7.y'i:. . . : ' •'• ' ) J 

### I hav e rea dth e foregoin g documen t an dunderstan dtha t

i t i s a n agreemen t

grantin g permissio n t o th e Grante e t o ente r

th e abov e describe dpremise s fo r th e purpos e o

f conductin g environmenta l respons e activities , an dI agre e t o it s term s an dconditions . Grantor' s Signature : ^^^JV l Q^^^j A Q . f

TW^-O X 

### Dat e " j j f jC S

(3 ) • '2J\2n00 1Dougla s Count y Accoun t

Informatio n Pag e 1 o f 2 Dougla s County , Nebrask a Propert y Recor d - R171544000 0 Informatio n i s vali d a s o f 2008-4-1 7 Prin t Repor t Parce l Dimension s availabi e 6 scal e 0-S O ft wies t o f 14 4 S t - Vie w O H MS P Treasurer' s Ta x Repor

t Ne w Featur e ->->- • Aut o Sale s Searc h Owne r BROWN-JOHNSO N MAR Y 0 244 3 MANDERSO N S T OMAH A N E 68111-000 0 Propert y Informatio n Ke y Number : 154 4 000 0 1 7 Accoun t Type : Residentia l Parce l Number : 171544000 0 Parce l Address : 244 3 MANDERSO N ST

OMAH A N E 68111-000 0 Lega l Description : MARYSVILL E AD D LOT 5 BLOC K4 5 0 X 12 8 Valu e Informatio n

Lan d Improvemen t Tota l 200 7 $2,600.0 0 •$51,700.0 0 $54,300.0 0 200 6 $2,600.0 0 $51,700.0 0 $54,300.0 0 200 5 •$2,600.0 0 $19,200.0 0 $21.800.0 0 200 4 $2,600.0 0 $17,400.0 0 $20,000.0 0 200 3 $2,600.0 0 $17,400.0 0 $20,000.0 0 200 2 $0.0 0 $0.0 0 $0.0 0 Sale s Informatio n

Sale s Date : 2003-04-1 6 Dee d Type : W D Book : 200 3 Page : 11453 8 Price : $58,000.0 0 Grantor : BONIT

A WALKE R Grantee : MARY BROWN-JOHNSO N Valid/Invalid : Vali d Exclusio n Reason : Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0.1 4 6400. 0 1. 0 128. 0 50. 0 N o Improvemen t Informatio n
hftr)"//HniioIflsnf» . mannina-nnlinp . r.nm/Dn\io]!t<iC.r\'Np./<it»t\rJarrr\iintiTifr \ icn'}nnnnii-ntr^n—' D n i c/£/or\f\ oDougla s Count y Accoun t

Informatio n Pag e 2 o f 2

Buildin g 1

CLIC KT O ENLARG E IMAG E 4 « w«so*C«f c ^ ;—.11—1 , Firs t Floo r iWO^ q t l "> ' ;443MiU£eR'SChS r

I ^- ' i • Scccn- J Floo r„, / I r'o. o s aIt. j

2 STORY

CLIC KT O ENLARG E IMAG E Squar e Footage : 1654. 0 Percen t Complete : 100.0 % Perimete r 0. 0 Quality : Averag e Uni t Type : Condition : Fai r Buil t As : 2 Stor y Cond o Squar e Footage : 0. 0 HVAC : Force d Ai r Rooms : 8. 0 Exterior : Fram e Sidin g Units : 1. 0 Interior : Drywal l Baths : 2. 0 Roo f Cover : Compositio n Shingl e Bedrooms : 4. 0 Roo f Type : Hi p Stories : 2. 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 191 2 0 0 % 191 2 9 6 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 ft 884. 0 Fixtur e Bas e Fixture s 1. 0 Fixtur e Bat h Ful l 2. 0 Porc h Cvr d Woo d Dec k 78. 0 Porc h Enc I Soli d Wal l 216. 0 Porc h Enc I Soli d Wal l 243. 0 Use r SOURC E 2 1. 0

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# CIT Y O F OMAH A PURCHASIN G - ROO M 100 3 181 9 FARNA M STREE T OMAHA , N E 68183-100 3 FAX * 402-444-542 3 

### Purchas e Orde r PURCHAS E ORDE R NO . 114865 3 REVISIO N 0 PAG E

4 '
SHI P TO : Crt Y O R OMAH A HOUSIN G & COM M DE V R M #111 1 181 9 FARNA M STREE T OMAHA,N E 6818 3 VENDOR : G BENVIR O SERVICE S

%GAR Y JENKIN S 430 2 MAPL E S T OMAHA , N E 6811 1 

# y BIL L TO : CITY O F OMAH A FINANC E DISBURSEMENT S ROO M #100 7 181 9 FARNA M STREE T OMAHA,N E 6818 3 - <

ORIGINA L PURCHAS E ORDE R - VENDOR' S COP Y (SE E INSTRUCTION S BELOW ) CUSTOME R ACCOUN T NO . VENDO R NO . 7740 8 DAT E O F ORDER/BUYE R 26-JUN-08. P BURK E REVISE D DATE//BUYE R PAYMEN T TERM S SHI P VI A F.O.B . DESTINATION ' FREIGH T TERM S > REQUESTOR/DELIVE R T O KASPAR . CATHLEE N CONFIR M T O / TELEPHON E

- < ITE M PAR T NUMBER/DESCRIPTIO N • DELIVER Y DAT E QUANTIT Y UNI T UNI T PRIC E EXTENSIO N

1 0 ! NEEDED : i 29-JUN-0 8 EP A PAIN T STABILIZATIO^ J PROGRA M .GR0tJP# 9 244 3 MANDERSO

N STREE T O SHI P TO : Addres s at.to p o f pag e

****ilr4r***tlr**********tl:**'**Vlr****ilr*)l:*4rir******ilr** * i NEEDED: i 29-JUN-0 8 EP APAIN T STABILIZATIO N PROGRA M GR0UP# 9 320 6 MYRTL E AV E O SHI P TO : Addres s a t

to p o f

pag e 3,260.0 0 N

1,980.0 0 N

******************* * jk************ * *********** * NEEDED : 29-JUN-0 8 1,800.0 0 N

SHI P TO : Addres s show n above . I f shipmen t i s delaye d p rari y item s no t availat>le , advis e a t once . Pur ctias e orde rnumt)e rmus t appea ro n al l Invoices , packages , packin g lists , bil l o f lading , an d correspondence . SHIPPIN G CHARGE S T O B E PREPAID . I F APPLICABL E AN D ADDE D T O INVOICED , cop y t o b e fur nishe d wit h invoice . TA X EXEMPTION : Th e City o f Omah a i s exemp t fro m Federa l Excis e Taxe s an d th e Nebrask a an d City o f Omah a Sale s Taxes . Federa l I.D . 476006304 ; STAT E I.D . 01-0316768 ; Fue l Dealers.Lie . 91-0316768 . Tota l ( Continue d )

Cit y Purchasin s Agen I / Buye r