### PROPERT Y SUMMAR Y Date : 10/18/2007 Omah aLea dSit e Remedia l Actio nContrac t #EP-R7-07-0 6 Mont hof : Octobe r Propert y Address : 423 4 Maso n S t A . EXECUTIV E SUMMAR Y A. IIssue s Encountered : Non e A. 2 Issue s Resolved : Re-See dwil l occu r i n Novembe r o n an y dea dspot s t o encourag e sprin g growth . A. 3 Uniqu e Findings : A. 4Othe r Relevan t Information : Behin dFenc e i n B 2 - 23 8 @ Scrape , Flowe r garde ni n B 2 - 18 4 @ Scrape , Flowe r garde n i n F l - 31 2 @ Scrap e CONFIRMATIO N SAMPLIN GDATA/RESULTS : 

### F l - 4 8 @ 6 " B2-64@8 " Easemen t 7 2 @ Scrap e ATTACHMENT S 1 ) Propert y sketc hprovide db y EP A pursuan t t o contrac t specification s 2 ) Signe dAcces s Agreemen t includin g acces s agreement s require dfo r crossin g othe r propertie s 3 ) Pre-Excavatio ndigita l vide o clip/photograph s 4 ) Post-Excavatio n digita l vide o clip/photograph s 5 ) Documentatio n- Complete dClose-ou t Checklis t 6 ) As-Buil t sketc h­ i ) Shal l includ e fina l lea dlevel s v ) Legen d ii ) Contaminatio nlef t behin darea s vi ) Contracto r identificatio n iii ) Propert y addres s vii ) Dat e iv ) BVI D numbe r 7 ) Othe r item s t o b e include di nth e individua l propert y file , i f available , o r obtaine dinclude : i ) Pre-excavatio n agreemen t detail s (i f an y ar e mad e wit hth e propert y owner ) ii ) Excavatio n digita l vide o i nMPEG , WM V (Window s Medi aVideo ) o r SW F(Flas hPlayer ) forma t and/o r photograph s iii ) Signe dfor mverifyin g satisfactor y restoratio n iv ) Descriptio no f area s no t meetin g Interi mRO D cleanu p criteria .

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## Omah a Lea d th e propertyi n orde rt o conduc t Sit e Remedia l environmenta l samplin g an d t o remov e lead-contaminate d soi l Actio n Prudent Technologies , Inc . (Prudent) i s unde r contrac t withth e U . S . Environmental Protectio n Agenc y (EPA ) t o clean u p lead-contaminate dsoil s at anumbe r o f propertie s locate di n Omaha , Nebraska , includin g th e propert y locate dat ^/,yi 3 / /'itfSA/ 7 •—> / . Th e EP A request s you r permissio n to allo w Prudent to performasoil cleanu p a t thi s propert y to remov e lead-contaminate dsoil . B y signin g thi s form , th e property owne r giant s permissio n t o Pruden t t o perfor mactivitie s relate dt o th e cleanu p includin g soil sampling , remova l o f lead-contaminate dsoil , an drestoratio n o f th e reference d property . Afte r obtainin g th e owner' s signatur e o n thi s form , Prudent Technologies , Lie . wil l contac t th e property owner (an dresidents ) withi n th e next fe w week s t o coordinat e performanc e th e work . I f

yo u hav e an y question s abou t th e soi l cleanu p planne dfo r you r property , pleas e contac t Prudent' s Administrativ e Cler k

fo r th e Omah aLea dSit e cleanup , Ms . Cvndi e Hind s a t (402) 504-1004 . General question s abou t th e Omah aLea dSite cleanu p can b e directe dt o m e EP A Publi c Informatio n Center s at (402 ) 731-304 5 (sout hOmah aoffice ) o r (402) 991-958 3 (nort hOmah aoffice) . Propert y Acces s Grante dBy : f fP]«K « Prin t Nsm» ) 

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# ~<y** ) r^ ' PROPERTY INFORMATIO N (T o b e complete db y resident and/o r propert y owne r - pleas e print ) RESIDEN T NAME : RESIDEN T ADDRESS : I F RENTAL . PROPERT Y OWNE D BY : OWNER' S MAILIN G ADDRESS : OWNER' S TELEPHON E NUMBE R - HONE : AG E O F HOME? : YEARS . HO W LON G HAV E YO U LIVE D HERE ? .YEARS . HA S TH E EXTERIO R BEE N PAINTE D O R COVERE D WIT H SIDIN G SINC E 1978 ? YE S N O



# ~r^ NUMBE R O F OCCUPANT S UNDE R 7 YEAR S OLD : I NUMBE R O F OCCUPANTS ? YEAR S OL D AN D OLDE R C? k NUMBE R O F CHILDRE N UNDE R 7 YEAR S OL D WH O PLA Y I N TH E YAR D FO R 5 HOUR S O R MOR E PE R WEEK . _ j COMMENT S O R SPECIA L INSTRUCTIONS : (I.E . DOGS . ENTR Y GATES . ETC. ) 

### AUTHORIT Y FO RENVIRONMENTA LRESPONS EACTIONS : Th e activitie s t o b e implemente db y EP A unde r thi s P ^ CailClil . 0 1 C JJL U ^UOii L L U bTCU.lUl l 1 X'~ T UJ . Vj-A.'-AVXj-J^-^Y , T4 / W.u-'.V-- . J \J\J~T . l^Cft . 3 1 1&11 L U l O^.\-CD 2 L U U1 C p i \JJJC 1 LJ f i i 

### provide dfo r i n Sectio n 104<e) o f CERCLA,42U.S . C 9605(e) , whic hprovide s entr y fo r "determinin g th e nee dfo r respoTise , ar choosin g o r takin g an y respons e actio n undg r 

### thi s title , o r otherwis e enforcin g th e provision s o f th & titls. "

# &EP A EP A Propert y Clos e Ou t Propert y# : 2 Propert y Address : v23 y haic< * Date/Time : Owner' s Name : £n ^ £#nc( , Quad s Excavated : r/ ( Contracto r Grou p Pruden t Technologie s Excavatio n Genera l Ye s \ . I f necessary , wer e th e correc t quadrant(s ) excavate dan drestored ? / 2 .

I f necessary , wer e th e correc t area s o f dri p zon e excavate dan drestored ? / Gradin g So dan dVegetatio n Ye s 1 .

Doe s th e gradin g aroun dth e perimete r o f

th e hous e i nexcavate darea s generall y slop e awa y 

# y fro mth e house ? 2 .Ha s so dbee n lai di nal l area s tha t wer e excavated ? i / 3 .Doe s th e so dappear t o b e generall y health y an dgrowing ? (Onl y evaluat e i f inspecte da t a3 0 da y tim e period ) 

# y 4 .Ar e sodde darea s generall y firman devenl y graded ? 

# s 5 .

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# y 6 .Wa s th e propert y grade dsuc htha t wate r wil l no t poo l o nth e property ? 

# </ 7 .

Wa s damag e t o landscapin g o r plan t material s avoided ? 

# . / Gates , Fence s an dRetainin g Wall s Ye s 1 .D o gate s ope n an dclos e freely ? (I f applicable ) S 2 .Were al l gate s o r fence s take n dow n durin g restoratio n activitie s reinstalled ? (I f applicable ) </ 3 .Wa s damag e t o gate s o r fence s avoided ? (I f applicable ) 

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

# ^ Foundation , Sidin g an dGutter s Ye s 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 ? 

# s 3 .Wa s damag e t o window s avoided ? 

# c/ 4 .Wa s damag e t o window s o r doo r screen s avoided ? 

# I / 5 .

Wa s damag e t o downspout s o r downspou t extension s avoided ? 

# y Sidewalk s an dDriveway s (Concrete ) Ye s 1 . Wa s damag e t o drivewa y surface s avoided ? ^ 2 .Wa s damag e t o walkwa y surface s avoided ? ^ N o

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### Owner s comments :

Inspectio n notes :

Remova l an drestoratio n activate s complet e includin g th e 30-da y so dwarranty : EP A Representativ e &> m

### ^ » Date : 

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# SER A PropertyCompletio n Agreemen t Thi s agreemen t document s th e completio n o f remova l activitie s perf o me do n th e belo w liste dproperty . Th e property owner' s signature indicate s that th e propert y owne r i f ; aisfie dwit hth e restoratio n o f th e subjec t property , an dthat n o item s ar e i n question , now , o r a t a i ' i ci e i n th e future , excludin g an y remainin g warrant y (3 0 day s total ) excep t thos e item s liste dbelow , i ar / . Propert y ID : Propert y Address : Q-£3<- l Al^S^-Y V Owner : t^f\lf \G~~\v~&ff 

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### I agre e restorationj s completed , excep t a s note d above . H-W*^ ­ \ d o no t agre e restoratio n is complete d

Owner' s Signatur e Dat ePRUDEN T TECHNOLOGltiWC . FIRS TNATIONAL^R KO F OLATH E 

## 1653 4 808 0 WAR D PARKWAY . SUIT E 40 5 83-172/101 0 KANSA S CITY , M O 6411 4 (816 ) 363-370 3
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### Prin t Previe w Pag e i 0 1 i 

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Parce l I D 

### 161843000 2 Sec-Twn-Rn g 

### 20-15-1 3 Owne r HELTO N Owne r Nam e MORGA N J Addres s Propert y Addres s 423 4 MASO N S T Additio n LEAVENWORT H HEIGHT S Cit y OMAH A Block Zi p 6810 5 Lo t 20 2 Owne r Addres s Lega l 1 E 3 0 F T LO T 20 1 & AL L Owne r Addres s 2 423 4 MASO N ST Lega l 2 7 5 X 10 8 Owne rCit y OMAH A Lega l 3 Owne r Stat e N E Lega l 4 I Owne rZi p 

### 68105 Assesso r Website Lin k http://douglasne.mapping online.com/DouglasCoNe/static/accountinfo.jsp ? accountno=R161843000 2 Disclaime rMa p an d parce l dat a are believe d t o b e accurate , bu t accurac yi s not Mag Scal e guaranteed . Thi s i s no t a lega l documen t an d shoul d no t b e substitute d fo ra titl e search , 1 inc h = 3 3 fee t appraisal , survey , o rfo rzonin g verification . 

### http://vvww.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Dougla s County-.. . 7/16/200 7

## 2123 3 Omah a Lea d Sit e Owne rName : MORGA N J HELTO N 

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## IHELTO N MORGA N j Propert yAddress : | Group : Owne rAddressl : J423 4 MASO N S T 

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### N E Legal 4 Owne rZi p 6810 5 Assesso r Websit e Lin k http://douglasne.mapping online.com/DouglasCoNe/static/accountinfo.jsp ? accountno=R161843000 2 Disclaime rMa p an d parce l data ar e believed t o b e accurate , bu t accurac yi s no t Ma p Scal e guaranteed . Thi s i s no t a lega l documen t an d shoul d no t b e substitute d fo ra titl e search , 1 inc h = 3 3 fee t appraisal , survey , o rfo rzonin g verification . 

### http://www.dogis.org/dogis_aUas/dogis/printPreview.aspx?PrintOptData=Dougla s County-.. . 7/16/200 7

### AGREEMEN T AN D RELEAS E FO RRESTORATIO N O FREA LPROPERT Y Thi s Agreemen t an dReleas e (hereinafte r "Agreement" ) i s entere dint o b y an dbetween , Eri n Grac e (hereinafte r "Property Owner" ) an dth e Unite dState s Environmenta l Protectio n Agenc y (hereinafte r "EPA") . WHEREAS , th e property locate da^423 4 Maso n Street (hereinafte r "th e Property") , mor e specificall y describe dbelow , i s owne db y Eri n Grace ; WHEREAS , EP A throug hsamplin g an danalysi s ha s discovere dth e Property wa s contaminate dwithlead ; WHEREAS , th e EP A performe daremova l actio n an dremove dth e contaminate dsoil s fro mth e property an dbackfille dth e formerl y contaminate darea s withclean fil l the n sodde d and/o r seede dth e described , effecte dproperty ;

WHEREAS , th e Property currentl y require s alimite damoun t o f restoratio n work t o return th e Property t o it s original conditio n prio r t o initiatio n o f EPA' s respons e activities , o r a s nearl y a s possibl e t o it s origina l condition ; NO WTHEREFORE , i n consideratio n o f th e mutua l covenants , promise s an dcondition s an dterms to b e kep t an dperforme da s recite dherein , th e partie s hereto agre e a s follows : 1 . Th e real Property whic hi s th e subjec t o f thi s agreemen t i s owne db y an di s mor e specificall y describe da s follows : LEAVENWORT H HEIGHT S LO T 20 2 BLOC K0 E 3 0 F T LO T 20 1 & AL L 7 5 X 10 8 

### 2 . Th e EP A wil l complet e th e followin g restoratio n items : Pay $12 0 i n lie u o f replacin g some plant s tha t EP A damage ddurin g th e remedia l action . 3 . Th e Property Owne r acknowledge s tha t EP A shal l hav e n o responsibilit y fo r furthe r restoratio n wor k

at th e Property . 4 . Th e Property Owne r release s th e Unite dState s an dth e EP A fro man y an dal l claim s arisin g ou t o f o r connecte dwith , directl y o r indirectly , thei r ability t o inhabit , occupy , use , transfer , o r

sel l th e real o r persona l property at 423 4 Maso n Stree t an dth e reimbursements , compensation , payments , costs , expenses , an dan y inconvenience s o r damage s relatin g t o th e foregoin g an dth e cleanup , decontamination , disposal an drestoratio n o f th e Property , includin g an y claim s unde r th e

### Unifor mRelocatio n Assistanc e an dRea l Property Acquisitio n Policie s Act , 4 2 U.S.C. , Sectio n 460 1 et . 

### seq . 5 . Th e Property Owne r affirm s tha t sh e i s th e legal owne r o f th e Propert y at 423 4 Maso n Street . '2 

### Thi s agreemen t i s entere dint o an dmad e effectiv e th e & da y o f

_ Oc-k^- i

_ , 2007 . FO RTH E PROPERT Y OWNE R
Dat e A * 

### FO RTH E UNITE D STATE S ENVIRONMENTA LPROTECTIO N AGENC Y


## o 7 

## Date U.S . EPA , Regio n VI ISEP-28-200 7 10:0 5 LJORLD-HERRL D NEWSROO M ^ 40 2 34 5 018 3 P.0 2

Eri n Grac e an d Morga n Helto n 423 4 Maso n St . Omaha , N E 6810 5 (402 ) 553-670 2 emg2@cox.ne t Dan . Her e i s th e lis t Morga n cam e u p with . Le t m e kno wi f yo u nee d mor e detai l o rexplanation . Thank s fo ral l you rhelp ! Eri n List : 4 existin g an d 1 0 ne wperennial s 4 annual s 10 + iri s plant s 1 matur e bosto n ivy 1 full ymatur e da ylilll y I estimat e tha t thi s i s abou t $12 0 dollars .

TOTR L P.0 2SEP-28-200 7 10=0 5 UORLD-HERRL D NEWSROO M 40 2 34 5 018 3 P . 0 1 

# Omah aWorld-Heral d Fa x Cove r

Shee t Date : Time : Nam e Compan y 

# 7 Fa x numbe r page(s ) t o follo w Specia l instructions :

From : IvVl/v


# Omah aWorM-Heral d 1314 Dougla s Stree t Suit e 70 0 Omaha , NE 68102 Phone : (402 ) 444-100 0 ext . M S k Fax : (402 ) 345-018 3 Pleas e cal l phon e numbe r abov e i f problem s occu r durin g transmission .