PROPERTY SUMMARY

 

Date: 11/7/2007 Omaha Lead Site Remedial Action Contract # EP-R7-07-06 Month of: November 

Property Address; 1814 Manderson St 

A. EXECUTIVE SUMMARY 

A.I Issues Encountered: None 

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

A.3 Unique Findings: 

A.4 Other Relevant Information 

CONFIRMATION SAMPLING DATA/RESULTS: 

Fl- 133 @ 6" 

Bl - 62 @ 6" 

El - 111@ Scrape 

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. 

TECHNOLOGIES, INC. 

___ 

32846 

Oma North Arrow h ia Lead Site Exterior Paint Owner Name: WILLIE L MOISE 

Sii » Sketch D G00*

1 

Address: 18t4 MANDERSON ST p

°°r n Phone: H: 402-457-5512 W: [g Not paint 

Lead Sample , Samples Collected Sample Number 

Concentration Collected . ' Firm: fl&V (U P/^.-T

 

RYASCPXA-32846 F1 C)ate: «t//Wo(, 

• flYBSCPXA 32816 fa / 1 7 Dom R"" I"! Time: \ ^ p(^ 

RYCSCPXA-32846 81 S i 5 ' I >pm [^ C] SSamples Analyze d RYD3CPXA-3284O 82- 3S6p c>pm \2[ : n 

RD^SCPXA-32040 D*. Dom n n XRF Unit: /CO"! Boo k J5Q 

KOlLulvl A/V-vlfcUlO \j£. oom n n Date. " 

RPZSCPXA-a2646 PZ- ppm n n Time: AM 

Staff MSlJ Number of Samples = 4 

I.egend: F1 = Front Left, F2 = Front Right B1 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants areas viewed from the street, feeing property : 

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to allow a ccess to 

Omaha Lea the property in order to conduct 

Site Remedi environmental sampling and to 

remove Icad-contaminatsc! soi! 

Prudent Technologies, Inc. (ftudent) is under contract witii me U. S. Environmental Rotection Agency 

(EPA) to dean up lead-contaminated soijs, at a numba^of properties located in Omaha, Nebraska, 

including me property located at /<7f</ .^//^^^^^.^n) • Th* EPA requests your 

permission to allow Prudent to perform a soil cr^ani^Tat'tnl^prop^y'tD remove lead-contaminated soil 

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

cleanup including soil sampling, removal of lead-contaminated soil, and restoration of me referenced 

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

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

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

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

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

(402)731-3045 (soufe Omaha office) or (402) 991-9583 (norm Omaha office). 

Property Access Granted By: 

Property Owner Signature: 

PROPERTY INFORMATION 

1

!o be completed by readest and/or property owner - please print) 

RESIDENT NAME: QDwner [Center 

RE SIDE NT ADDRESS: 

IF RENTAL. PROPERTY OWNED BY: 

OWNER'S HAIUNGADDRESS; 

OWNER'S TELEPHONE NUttBER -HOC3E: WORK: i

 

AGE OF HOME?: YEARS. HOW LONG HAVE YOU LIVED HE RE 7 YEARS.

 

HAS THE EXTERKX D OR COVE RE D WITH SIDING SINCE 1378? YES 

NUMBER OF OCCUPANTS UNDE ER OF OCCUPANTS 7 YEARS OLD AND OLDER 

NUMBER OF CHILDREN UNDER 7 YEARS OLD WHO PLAY IN THETA&D FOR 5 HOURS OR MORE PE R WEEK: 

COHHE NTS OR SPECIAL INSTRUCTIONS: (IE. DOGS.E NTRY GATES.ETC.)

 

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

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

provided for in Section 104(e) of CERCLA, 42 U.S. C 96X)5(e), which provides entry fdradetennining the need for 

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

title" 
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Agreement to allow access to 

* rauirar > tfie property in order to conduct 

Remedial * \:$jf$ «* environmental sampling and to 

J remove lead-contaminated soil 

TedcEsologies, Lie. (TcfoHSeaxii) is iraadar cosafract wafHh fee U. S. Esvizooaieatai Protedioa Ageecy 

(EPA) to cleata up iead-coatemmatetS soiSs at a mmbar of propel es^DcatesI im OsKsfes, Meb?Bskfi, 

kcliM&fflg ike property locaiecJ at \%V*\ Vf\ f> ri A QJ3 ,<Vvfr1 Sr. Uta EPA srecpests your 

pemassioa to allow Prndeat to pedbsrai a soii cleaasijp at tMs property to remove lead-coMafflaafflated soil. 

By sigsmag {Jas fcsssa, 4ke pa'opesiy owaer grasSs pemjjssiosi to Pmdeiat to pearfossa activities related to tJia 

cleanup iadudmg soil sasupliag, ?emoval of lead-costasraiaatedl soil, sad ires4ora{ioffl of&e referenced 

pt'oaai-ty. Afteir ouiaisjiiag {Jie owaes-

's sigiaaiijaa oa iisis fozua, PffiSiiWi Teclnaoiogies, lac. will cotitact the 

propesty owner (and residcots) mtim &e nest few weeks to ccoir$£i3tc pairfoirmszica &e wo?k 

IF you have say tjuesiioas about the soi! claaaiip plasssied for you? property, please coaiaci Psradasst's 

AdsHmisfe-Biive Clesfe fosr SSia Omahs Lead Sit" daesmp, Bfis. Cya&e ffiffldls at (^402) 504-1004. GeaesrsS 

tpasiioias sbout i&s OmaSia Lead Sits cleanup csa be (2kected to ska EPA Pinbiic SafcsT-ma'ao-a Ceats23 ai 

(402) 731-3045 (soulii Omshs ofSce) of (402) 991-9583 (aortSi Osnahs oiffice). 

Psrope^ty Access Gs'siiied By: L 

(Ploai=oPrinlNEin«.) 

Property Owner Sigsatee: ^ Jw" V^ltt^^^ ^igaaturo)

PROPERTY 

(To be tosaplsieil &y reafiEsi aafi/or proper^ 

RESJDEHT ADDRESS:: \| f^Lft tvA~~V-.oV 

IF RENTAL. PROPERTY OWMED BY: 

OWCJER'S aaiLMiB ADDRESS; 

OWMER'STELEPHOMEHUiniSER-MOClE: ( }

(V AGE OF HOQE7: YEARS. HOW LOHG NAVE YOU LIVED HERE?

Vsy HAS THE EKTEfUCR BEEW PAIMTED GK COVEREO CTTO SGJIHG S1HCE 1S7B?

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[Jisnar Qenter 

 WORK: J 

 VGAflE. 

 YES MO 

[X HUOBER OF OCCUPANTS UWBEH 7 YEARS OLD: MUtTlBER 9F ©COJPACTS? YEARS OLD AMD OLDER . 

MUCOSER OF CHIL3REM UUDER 7 YEARS OLD WHO PLAY ft! THE YARD FOR 5 HOUflS OR KORE PER WEEK: _ 

COdClEMTS OR SPECJAL inSTRUCTIOKS: (I.E. DOGS. EWTRY SATES, ETC.) 

AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS: The activities to be iraplsnented by EPA unds- this 

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

provided fcr in Section 1 W(s) of CHR.CLA, 42 U.S. C 9C02(s), which provides entry SET "determining the need fcr 

response, or chcasizig or taldng any respcase action under this title, or otherwise enfordng the provisicsns of the 

title." 
SEPA 

EPA Property Close Out 

Property #: 328Vf Property Address: IfW ft«»oe*.to<t 

Date/Time: /// Owner's Name: ^jn-ut flo** 

Quads Excavated: Contractor Group Prudent Technologies 

Excavation General Yes No 

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 Yes No 

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) S 

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 Yes No 

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 Yes No 

1 . Was damage to the siding or trim avoided? «/ 

2. Was damage to the foundation avoided? / 

3. Was damage to windows avoided? i/ 

4. Was damage to windows or door screens avoided? i/ 

5. Was damage to downspouts or downspout extensions avoided? «/ 

Sidewalks and Driveways (Concrete) Yes No 

1. Was damage to driveway surfaces avoided? */ 

2. Was damage to walkway surfaces avoided? 

t/ 
Owners comments: 

Inspection notes: 

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

EPA Representative ^L. £L* Date: 

^~ 
32846 

 Exterior Paint North Arrow 

Owne rnaha Lead Site r Name: WILLIE LI\M|n ENTEHE1 

U Good Site Sketch Address: 1814 MANDER§tA ST fj Poor

 

Phone: H: 402-457-5512 W: [g Not paint t i

Sampl Lead Sample , .„ Samples Collected e Number 

Concentration Collected pjrm. f£m) bjf/4~f 

RYASCPXA-32846 (F1 I^JrQO^' 1 ppm QJ' n Date:

 *£//1/oC» 

• RYBCCPXA 32816 « 1 ~l7 ppn i

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RYCSCPXA-32846 ,-B1 fcl£~l 5 ppn 1 & a

 Samples Analyzed

 RYD3CPXA-32040 83. 3Sfi? ppn i L^ a 

KUZoCrXA-32840 \JL. ppm a a XRF Unit:

 

ROZOCPXA-3204G GZ-^ ppm D a Date: ~1- \~l~C>Lc>

 

RPZ5CPXA-32646 PZ- ppm D D Time: A /H

 

Statt: fHSl^l Number of Samples = | If [ 

\..egend: F1 = Front Left, F2 = Front Right, B1 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the street, facing property 

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Rev 4 ... . 046141.0123 
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 warranty (90 days overall, 30 days on sod growth guarantee) except those items listed below, 

if any. 

Property ID: 

Property Address: V^.C'f 

Owner: 

Phone: 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

I do not agree restoration is completed 

Owner's Signature Date 
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 

1512390000 

MOISE WILLIE L 

1814 

MANDERSON 

ST 

OMAHA 

68110 

PO BOX 34746 

OMAHA 

NE 

68134 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Assessor 

Website Link 

03-15-13 

KIRKWOOD ADD 

3 

7 

E36FT 

36X60 

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

accountno=R1 51 2390000 

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 = 19 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas County-... 8/6/2007 
Find Record Clean Up Query Lead Remaining Query Property Damage Query 

Owner Occupied Resident Name: 

Owner Name: JVACANT LOT JPRUDENT2007 

(MOISE WILLIE L Property Address: Group: 

Owner Addressl: 1814 MANDERSON ST ii 

Zip Code: 

Owner Address! 68110 

|PO BOX 34746 Resident Phone Qualifying Group 

City: State: Zip Code 800 

JOMAHA NE 1168134 Assessment XRF Date: 

Owner Phone: Alternate Phone: 

| (402) 457-5512 Assessment Max XRF Value 
Find Record ._..-- ...Clean Up Query Lead Remaining Query j Property Damage;

Query 

•• /"/

/ 

Sample Area: 32846-1814 MANDERSON ST 

Owner: \

' ' 

JIU - OwneflOccupied 

/Owner Name: 

[MOISE WILLIE L 

/ ]\Qwner Addressl:' J

L-p-r-< 

Owner Address2: 

JPO-BOX 34746, 

^-Gity:

 >r ^\ State: Zip Code: 

JOMAHA /x INE" 68134 

Owne? Phone: Phone:---"' 

[(402) 457-5512^ 

r-^V^1 

LS A-

Resident: 

Resident Name: 

(VACANT LOT 

Property Address: 

11814 MANDERSON ST 

Zip Code: 

68110 

Resident Phone 

Contract: 

Contractor: 

PRUDENT2007 

Group: 

Assessment: 

Qualifying Group 

J800 ' """"" 

Assessment XKF Date: 

Assessment Max XRF Value: 

908.63 

c^m^o ^ic^