TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID#: /a^^ ? Date: __J^;^2^ Z 

Address: CPJ^ Lbraas S h 

, Remediation Contractor: _Coastal Environmental Group_ Year: _2007_ 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

. A Video of property (DVD) " . 

W Executive Summary 

M EPA-provided property sketch 

^ Signed Access Agreement for subject property 

D Si^ed Access Agreement(s) for adjiacent property 

W Restoration Agreement 

' ^ Settlenient documents (i.e., for damage or to replace plants, etc.) 

u Confirmation data , 

D Photographs \)(<3^e^^ Q]iQ3amm ^ ^lAjZid'/^ijl^ fe-Scxi^ 3o4(^ Veso^ 

A As-built sketch 

M Satisfactory restoration signed by Property Owner 

ty^ Property close-out check list signed by EPA (^f^l^l^O 'J 

. D Descriptionof areas not meeting ROD cleanup criteria 

D Utility clearances 

'& Property informationfi-om Douglas County Assessor's Office 

V 1^^<^|tv/bftissv riUi^. 8r^ ^ ^/(S:/o7 

40317145 

iiil III 

Superfund 
•• 

• 

Property Access Checklist 

Property ID: 1^5^ 2 T n WORK STARTED 

Property Address: r^ 9 0 D WORKCOMPELTED r>orCeLS> St ~ 

Owner: \ tr^o^^ H '^^S'^^ ^ 

Address: ^^ ^ X>OCC.o^V S ^ 

OM<3W ^ M e (^^[0 % 

Phone: Z-jt) "2. - 3MT_ - 0.^ ^ 3 

Fax: 

Cell/Pager: 

dl Notiflcation Letter 

0 ^ Access Agreement 

[vf Restoration Agreement 

1 1 Topsoil Sampling (if applicable) 

• Disposal Sampling (ifapplicable) 

Q Garden Sampling (if applicable) 

E T Utility Clearance 

Q^Video/Photos (Before) 

0 Video/Photos (During) 

H/Video/Photos (After) 

U / Video/Photos (30-Day) 

0 Property Completion Agreement 

n Final Report 

Air IVIonitoring (as applicable) 

1 1 Community [I] Crew On:

Results: 

1 1 Community CH Crew On:

Results: 

n Community CH Crew On:

Results: 

Sent:

Renter: 

Phone: 

Fax: 

Cell/Pager: 

Additional Information: 

/ / 

Signed: 0 4 1Z^ 1 D l 

Signed: 0 4 /aM /o l 

/ / 

/ / 

/ / 

Called: OM l2 S / O l 

On: oH /2 S 1 o n 

On: 6 l_Ll 0-1 

On: lr\ 1 •^ I W^ 

On: / / 

Signed: b / S i 6 1 

Issued: / / 

/ / By: 

/ / By: 

/ / By: 

Omaha Lead Site 

By: 

By: Lcxrc^e.

By: 

By: 

By: 

By: 

ON: tfW/2LW/ 6 7 

ON: / / 

 'R. e ^ a-n 1 

By: \-,t^2^ ^ ^.o^Tv^-.i. 

By: \a(Zii 

By: iZick 

By: %^(z^ 

By: 1 

By: /Z^cti 

By: 
'ml aan Total Qu^^ u^Btn Squar : e Footage to be Excavated = 582 

Property Classification: EBL TotaluflrZ D^rZon e Linear Footage to be Excavated = 0 

Legend 

ti:.Jj Concrete 

North Arrow 

N 

Omaha Lead Site 

Omaha, Nebraska 

CD - •

Excavated Area 

Existing Structure 

 Fence 

Permanent Landscaping 

Scale 

1 Inch = 20 feet or 1 grid = 5 x 5 ft 

Property Number 

OLS-18527 

Property Address 

620 DORCAS ST 

O 

—

—

 Quadrant Boundary 

 Street Boundary 

Tree/Shrub 

F 1. 

F2 

B1 

Post Excavation Concentrations (ppm) 

82 PlayArea 

DZ Easement 

Garden Other 

Description of post excavation areas: Fl, front yard left-fiand quadrant; F2, front yard right-hand quadrant; Bl, backyard left-hand quadrant; B2, bacl<yard right-hand quadi^nt; 

DZ, drip zone (1-3 foot area of soil around the foundation of the house). 
i-ft-^t^Ai. 

FINAL PLAT 

1——-n-y •LANDMARK PLAZA 

•)IJIH.-9M(M» N LOTS I THRU 5 INCLUSIVE, LOCATED IN THE 

a ^ >i SOUTHEAST CORNER OF SECTION L TOWNSHIP 

14 NORTH, RANGE II EAST. OF THE 6th PM., 

DOUGLAS, COUNTY, NEBRASKA. 

I 

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.^^M. ».«&•*­ •S^* 

10(9 

Oot> 
Parcel Search Page 1 of 1 

Results 1 - 3 of 3 

B Q Parcels 

B CARLSON MATTHEW J 

a 16205 DORCAS ST 

B KERSTEN CHARLES A 

ffi 

16206 DORCAS ST 

REGAN TIMOTHY J 

620 DORCAS ST 

Parcel ID 

Owner Name 

Property Address 

City 

Zip 

Owner Address 

Owner Address 2 

Owner City 

Owner State 

Owner Zip 

Sec-Twn-Rng 

Owner Address 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Old Assessor Site 

New Assessor Site 

0222330000 # 

REGAN TIMOTHY J 

620 DORCAS ST 

OMAHA 

68108 

620 DORCAS ST 

OMAHA 

NE 

68108 

26-15-13 

U^NDS 

W 40 E 234 FT SUB LT 5 LOT 6 

40 X 90.5 

Valuation Information 

Valuation Information 

http://www.dogis.org/dogis_alias/dogis/parcelSearch.aspx?govUser=false&validUser=false 4/19/2007 
CONTACT FORM 

Property ID # ie>5d-i 

,0.\ u-^ 

Initial Contact: Date: ^'^^'^^ Time: l^."?^P Action:jlm 

Second Contact: Date: ^^3-^7 Time: f)!450­ Action: appj-. ^llDp-0\ 

Final Contact: Date: Time: Action: 

Final Action: Transmit to EPA D Other Action: D 

Comment: 

Owner 

Comment (s): 

Site 

Coordinator 

Comment (s): 
\ ^ / ; 

Consent For Access To Property 

RIGHT OF ENTRY TO PREMISES 

Grantor (the property owner) consents to and authorizes the United States Environmental 

Protection Agency (EPA) or its authorized representatives, collectively the Grantee, to 

enter and perform certain environmental response activities upon the following described 

premises: 

Owner's Name: 

Daytime Phone: 

s# a n Mo2 - 3A-2. - a-lt- B 

Addresses of 

Properties covered by 

this Agreement: 

Address: GQjb 1:^0rcc^ s>^ OMaka Ni^

Address: 

Address: 

Address: 

Address: 

PURPOSE OF RESPONSE ACTIVITIES 

The EPA is requesting access to collect soil samples and remove soil that contains 

elevated concentrations of arsenic and/or lead and may pose a health hazard. The soil 

will be removed and the excavated area(s) will be replaced with clean materials and 

restored. This work is being performed under the Omaha Lead Site Superfund Site 

remediation program. 

An EPA representative will contact the Grantor in-person to discuss the work to be 

performed, the Grantor will have an opportunity to review and approve the planned soil 

removal, and restoration work before it begins. Once the work is fmished, the Grantor 

will be asked to review the work and confirm that it is complete and meets with the 

Grantor's approval. Upon completion, the Grantor will receive written documentation 

from EPA that the property has been remediated. 

ENVIRONMENTAL RESPONSE ACTIONS 

By signing this Access Agreement, the Grantor is granting the EPA, its employees, 

contractors and subcontractors the right to enter the property, at all reasonable times and 

with prior notice, for the sole purpose of performing the work. This access shall remain 

in effect until the work has been satisfactorily completed. The Grantor also agrees to; 

 ^*'° ' 

«Property_ID» Page 1 of 2 
ML 

Remove obstructions including boats, trailers, vehicles, playscape items, wood 

piles, dog houses, etc; 

Remove flower bulbs or plants that the Grantor or the Grantor's tenant may wish 

to save; 

Water and maintain replacement vegetation, including fertilizer application, as 

necessary subsequent to an initial watering period by EPA; 

Abide by health and safety guidance provided by EPA; 

Ifthe property is rented, assist EPA in obtaining tenant approval for access to the 

property to perform the work if EPA is unable to obtain such access; and 

Allow videotaping and/or photography of the property including exterior and 

interior areas ofbuildings. 

AGREEMENT NOT TO INTERFERE 

The Grantor agrees not to interfere or tamper with any ofthe activities or work done, or 

the equipment used to perform the activities, or to undertake any actions regarding the 

use of said property which would tend to endanger the health or welfare ofthe Grantees 

or the environment, or to allow others to use the property in such a manner. 

Should you have any questions about this program, please contact 

RTI I grant access to my properties operties 

ZAy^yH-2^^07 £d^£. Ignature Date Signature Date 

I 11 would like to be present during any sampling that is required. 

Page 2 of 2 

«Property_ID» 
(i 

Restoration Agreement 

The purpose of this agreement is to provide a mutual agreement as to conditions of propert\ prior to 

remediation activities. This will also scrv e as decontamination for the purpose of assuring that resloration 

activities are completed to the satisfaction of the propert} owner and the United States Environmental 

Protection Agency (EPA). 

PropertylD: \f^5*Z'= f 

Property Address: ^ ^. o T^orc _O - ^ SJ­ Qt ^ S V^ ^ K e (L«sib 9 

O^ner: V.'^ohKv ^ L ^ f CLt V.CK_^aa O 

Phone: ^ p 2.- 3M2_ - ;i-lC= 3 ^ 

On the attached diagram(s) indicate area(s) to c\ca\ated and depth of excavation, location of all known 

utilities, subsurface features, surface structures and landscaping features, access location(s) to be used b\ 

contractor, and the direction of North. Indicate distances, depths, material types, etc. Indicate digital photos 

by referencing the photo-log number wilh an arrow indicatmg direction of \ iew. 

Items To Be Removed By Owner Before Start Of Remediation: 

(Use addftional sheets as necessary) 

The removal, storage, disposal, and/or return of these Wfms is the Owner's responsibility. 

item: 

r/J 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 
(p> 

Items To Be Removed By Contractor During Remediation And Not Replaced 

(Use additional sheets as necessary) 

Item: 

\vAor\e_ 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Page 2 of (/^ 
m> 

Items To Be Removed By Contractor During Remediation And Replaced 

(Use addrtional sheets as necessary) 

Item: 

Item: y^^jnoo <>€-£{ 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Page 3 of { ^ 
Item Quantity Unit Conditlon/Type/Species 

Agreed upon \alue

plant materials not to

replaced bv contractor. 

 of 

 be 

Nolc iliis \aliic

u.-<cd lo issue

\oi.icher lo ihe

OW ner 

 will be 

a planl 

 pioperl\ 

$ 

Agreed upon list of plant 

materials that will be 

replaced by contractor. Be 

very specific and detailed. 3 

Each 

Inelude a skeich i.i\' were 

eaeh pUint will he placed 

In the eonlj-aelor 

Agreed upon area of 

propert)' to be replaced 

with grass sod. 

InekiJe a skeieh .'[' ilie 

areaisi in he replaeeJ. willi 

j^rass sod. 

rsiD-^-^^ 

SF 

Area of Cit\' or Countv 

propertv- to be landscaped 

per their requirements. 

Ineliule a skeleh '^\ ihc 

area is) 

/^lA 

SF 

Page 5 ofjj 
Landscape Inventory 

(Use additional sheets as necessary) 

Item 

pre-existing property area 

that is covered with grass. 

Number of trees > 2 inch 

trunk diameter 

Number of trees <= 2 inch 

trunk diameter 

Number of Sprinkler 

Zones, Control Valves, 

Timers, Heads, etc. 

Attach a sketch of the 

sprinkler layout. 

Number of and size of 

each garden/ flower bed 

area. 

Attach a sketch of relative 

sizes and locations. 

Quantity 

No 

14^ V ^ 

UD 

Unit 

Square feet 

Condition/Type/Species 

Each 

1 

Each 

^lo'^ t 

Each 

-

Each 

Square Feet 

Page 4 of i o 
(i 

Additional Comments / Instructions: 

^ Check the box if Owner does not want CEG to document interior foundation walls and possible 

pre-existing damage. By checking this box CEG is not responsible for any damage done to the 

interior of house, including foundation cracks or fissures. 

agree O I do not agree "^3^ agree / [ 3 r^dcTlTot^agree 

/ 

AAA.. (Xf..^"i-M-m /^w^%^^^ 

Owne^rs Signature ^" / Date Co^rn^actor's Signature / Date 

Page 6 of { j / 
a 

RESTORATION CHANGE ORDER 

OMAHA LEAD 

Property ID # l?)59'l 

Property Address f^S^ ^ Oo/toA S 

Owner Name | I'm ^ L ^<-Qu ^/f.^^r^rx 

Date S-l ^ ^^ 7 

Comments . 

Owner Signatur 

Contractor Signature 
ygp. 

PROPERTY CLEARANCE WORKSHEET 

1 

Date Ol-May-07 

Property ID 1852 7 

Property Projec± 

Omaha Lead — Fixed Price 6 2 0 DORCAS ST Address 

Measuremen 

XRF ID 0107-51 t 

Count/Time 

Field Shots 

Shot # Reading Sample Area 

Shot # Reading Sample Area 

103 186 EA-S 

167 25 F2 

176 19 Fl 

Sample Area EA-S Pass/Fail ? 

I n Situ 

Composite Composite Analytic Lab Aliquot Composite Readings 

Analytical Reading 

Average (Dried & al Spilt Numbe (Bag) 

Results 

1 

(Bag) Sieved) Sent? r 

*2 198 ppm +/- 8 ppm 

3 176 ppm -f-/- 7 ppm 186 ppm 

4 185 ppm -1-/- 8 ppm 

XRF Corrected Value --> 

5 

(use calibration chart or add 223 ppm 

20% to value) 

Sample Area F2 

Pass/Fail ? 

I n Situ 

Composite Composite Analytic Lab Aliquot Composite Readings 

Analytical Reading 

Average (Dried & al Spilt Numbe (Bag) 

Results 1 (Bag) Sieved) Sent? r 

2 20 ppm -f-/- 1 ppm 

3 24 ppm -)-/- 1 ppm 25 ppm 

4 31 ppm +/- 1 ppm 

XRF Corrected Value --> 

5 

(use calibration chart or add 30 ppm 

20% to value) 

Sample Area Fl 

Pass/Fail ? 

I n Situ 

Composite Composite Analytic Lab Aliquot Composite Readings 

Analytical Reading 

Average (Dried & al Spilt Numbe (Bag) 

Results 1 (Bag) Sieved) Sent? r 

2 13 ppm -f/- 1 ppm 

3 21 ppm -H/- 1 ppm 19 ppm 

4 24 ppm -1-/- 1 ppm 

XRF Corrected Value - > 

5 

(use calibration chart or add 23 ppm 

20% to value) 

Confidential 5/10/2007 

Page 1 of 2 
1 

Sample Area Pass/Fail ? 

I n Situ Aliquot Reading 

1 

2 

3 

4 

5 

Sample Area 

I n Situ Aliquot Reading 

1 

2 

3 

4 

5 

XRF Technician's 

Signiture 

Composite Readings 

(Bag) 

-1-/- 0 ppm 

-1-/- 0 ppm 

-vj- 0 ppm 

XRF Corrected Value - > 

(use calibration chart or add 

2 0 % to value) 

Composite Readings 

(Bag) 

-H/- 0 ppm 

•vj- 0 ppm 

-1-/- 0 ppm 

XRF Corrected Value - > 

(use calibration chart or add 

2 0 % to value) 

Composite 

Average 

(Bag) 

0 ppm 

Composite 

Average 

(Bag) 

#DIV/0! 

#DIV/0! 

Composite 

(Dried & 

Sieved) 

Composite 

(Dried & 

Sieved) 

Analytic Lab Analytical 

al Spilt Numbe Results Sent? r 

Pass/Fail ? 

Analytic Lab Analytical 

al Spilt Numbe Results Sent? r 

USE ADDITIONAL SHEETS IF 

NEEDED 

/v\)_.V\p> 

Confidential 5/10/2007 Page 2 of 2 
PROPERTY CLEARANCE WORKSHEET 

# 

Date 02-May-07 

Property ID 1852 7 

Property Project Omaha Lead - Fixed Price 

6 2 0 DORCAS ST Address 

Measuremen 

XRF ID 0107-51 t 

Count/Time 

Field Shots 

Shot # Reading Sample Area Shot # Reading Sample Area 

Sample Area Fl 6-8 Pass/Fail ? 

Aliquot 

1 

I n Situ 

Reading 

58 

Composite Readings 

(Bag) 

Composite 

Average 

(Bag) 

Composite 

(Dried & 

Sieved) 

Analytic 

al Spilt 

Sent? 

Lab 

Numbe 

r 

Analytical 

Results 

2 30 13 ppm +/- 1 ppm 

3 34 21 ppm +/- 1 ppm 19 ppm 

4 21 24 ppm -1-/- 2 ppm 

XRF Corrected Value —> 

5 30 (use calibration chart or add 

20% to value) 

23 ppm 

Sample Area 

Pass/Fail ? 

I n Situ 

Composite Composite Analytic Lab Aliquot Composite Readings 

Analytical 

Reading Average 

(Dried & al Spilt Numbe (Bag) 

Results 1 (Bag) Sieved) Sent? r 

2 •Vj- 0 ppm 

3 -1-/- 0 ppm 

4 -H/- 0 ppm 

XRF Corrected Value - > 

5 (use calibration chart or add 0 ppm 

20% to value) 

Sample Area F2 6-8 

Pass/Fail ? 

I n Situ 

Composite Composite Analytic Lab Aliquot Composite Readings 

Analytical 

Reading Average 

(Dried & al Spilt Numbe (Bag) 

Results 

1 1 (Bag) Sieved) Sent? r 

2 3 20 ppm -(-/- 1 ppm 

3 9 24 ppm -H/- 2 ppm 25 ppm 

4 43 31 ppm -1-/- 2 ppm 

XRF Corrected Value - > 

5 7 (use calibration chart or add 30 ppm 

20% to value) 

Confidential 5/10/2007 

Page 1 of 2 
Sample Area Pass/Fail ? 

I n Situ Aliquot Reading 

1 

2 

3 

4 

5 

Sample Area 

I n Situ Aliquot Reading 

1 

2 

3 

4 

5 

XRF Technician's 

Signiture 

Analytic Lab Analytical 

al Spilt Numbe Results Sent ? r 

Pass/Fail ? 

Analytic 

al Spilt 

Sent? 

Lab 

Numbe 

r 

Anaiytical 

Results 

1 

USE ADDITIONAL SHEETS IF 

NEEDED 

Composite Readings 

(Bag) 

95 ppm +/- 6 ppm 

124 ppm -H/- 8 ppm 

103 ppm -H/- 7 ppm 

XRF Corrected Value - > 

(use calibration chart or add 

2 0 % to value) 

Composite Readings 

(Bag) 

+/- 0 ppm 

-1-/- 0 ppm 

-1-/- 0 ppm 

XRF Corrected Value --> 

(use calibration chart or add 

2 0 % to value) 

Composite 

Average 

(Bag) 

107 ppm 

128 ppm 

Composite 

Average 

(Bag) 

#DIV/0! 

#DIV/0! 

Composite 

(Dried & 

Sieved) 

Composite 

(Dried & 

Sieved) 

\J\[\)\kk C^mL x£^ 

Confidential 5/10/2007 Page 2 of 2 
XRF DAILY CALIBRATION WORKSHEET t#^ 

Date 

Project 

XRF ID 

Measurement Count/Time 

02-May-07 

Omaha Lead — Fixed Price 

0107-51 

30 sec 

Calibration Verification Checks 

Readinq 

True Value 

120% 

80% 

Precision Measurements 

Average 

Blank Low 

0.0 ppm 18.9 ppm 

22.7 ppm 

15.1 ppm 

Within +/- 20% of True Value to Pass Calibration Check 

Precision Measurement

Replicate Blank 

1 

2 

3 

4 

5 

6 

7 

Mean Concentration 

Standard Deviation 

Relative Standard Deviation 

Relative Standard Deviation 

Less than 20% 

Confidence Interval

Method Detection Limit 57 ppm 

Average Confidence Interv -i-/- 6.4 % 

Low 

-10 ppm 

-55 ppm 

-17 ppm 

-13 ppm 

-23 ppm 

-49 ppm 

-10 ppm 

18.9 

Med 

1162.0 ppm 

1394.4 ppm 

929.6 ppm 

898 ppm 

FAIL 

1140 ppm 

PASS 

1073 ppm 

PASS 

 Check 

Med 

1090 ppm 

1030 ppm 

1180 ppm 

962 ppm 

978 ppm 

1080 ppm 

1190 ppm 

1072.9 

90.1 

#VALUE! 8.4 

PASS 

 @ .95 - > +/- 8.4 %

High 

5532.0 ppm 

6638.4 ppm 

4425.6 ppm 

3370 ppm 

FAIL 

5370 ppm 

PASS 

5417 ppm 

PASS 

High 

5390 ppm 

5550 ppm 

5210 ppm 

5070 ppm 

5800 ppm 

5440 ppm 

5460 ppm 

5417.1 

234.8 

4.3 

PASS 

 -i-/- 4.3 % 
5/i|Crf 

bSlO D^RQAS''^ ^igsz 7 

?6' 

?m caiiC'nJiGn db 

-^ ­ ­

^ ^ Hiqh 

:?/(9/ £/? -S 

ZQ^ILZ Z 

Z^MZZ Z 

.MZ M 

1S5LM. m ft­
- * 

Date 

Project 

XRF ID 

Measurement Count/Time 

Reading 

True Value 

120% 

8 0 % 

Morning 

Mid-Day 

Precision Measurements 

Average 

XRF DAILY CALIBRATION WORKSHEET 

30-Apr-07 

Omaha Lead -- Fixed Price 

0107-51 

60 sec 

Calibration Verification Checks 

High 

5532.0 ppm 

6638.4 ppm 

4425.6 ppm 

3940 ppm 

FAIL 

3940 ppm 

FAIL 

5487 ppm 

PASS 

High 

5530 ppm 

5550 ppm 

5280 ppm 

5670 ppm 

5780 ppm 

5280 ppm 

5320 ppm 

5487.1 

199.5 

3.6 

PASS 

 +/- 3.6 % 

Blank 

0.0 Dpm 

6 ppm 

7 ppm 

6 ppm 

Low 

18.9 ppm 

22.7 ppm 

15.1 ppm 

25 ppm 

FAIL 

31 ppm 

FAIL 

22 ppm 

PASS 

Med 

1162.0 ppm 

1394.4 ppm 

929.6 ppm 

818 ppm 

FAIL 

959 ppm 

PASS 

934 ppm 

PASS 

Within +/- 20% of True Value to Pass Calibration Check 

Precision Measurement Check 

Replicate 

1 

2 

3 

4 

5 

6 

7 

Mean Concentration 

Standard Deviation 

Relative Standard Deviation 

Relative Standard Deviation Less 

than 20% 

Blank 

5 ppm 

1 ppm 

2 ppm 

1 ppm 

1 ppm 

22 ppm 

8 ppm 

5.7 

7.7 

Confidence Interval

Method Detection Limit 31 ppm 

Average Confidence Interval -I-/- 2.9 % 

Low Med 

15 ppm 912 ppm 

12 ppm 960 ppm 

33 ppm 958 ppm 

39 ppm 912 ppm 

22 ppm 943 ppm 

12 ppm 923 ppm 

21 ppm 928 ppm 

22.0 933.7 

10.5 20.2 

47.7 2.2 

FAIL PASS 

 @ .95 - > +/- 2.2 %
Omaha Lead Site—Fixed Price EP-R7-07-05 

Coastal Environmental Group Inc. 

\ . • ^ www.coastalhazmat.com 

^VpBoit^ COASTA L ENVIItONMENTAL 

C R O U r , INC . 

EXECUTIVE SUMMARY: 

18478—1937 S. 37* ST 

X No issues or concems Issues or concems 

Detail Explanation: 
- - - --

- -

• • • 

ft As-Built Drawing ^ 

COASTA L maha Lead Superfund mc 

Total Quadrant Square Footage to be Excavated = 582 Property Classification EBL Total Drip Zone Linear Footage to be Excavated = 0 

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Legend OLS#: 18527 North Arrow Omah a Lea d Sit e 

Omaha, Nebraska 

Date Excavated:5/1/07 

Date USEPA Signed Off:5/22/07 A Propert y Numtie r 

OLS-1852 7 Existing Structure Scale 1 1 Fttnc Propert y Addres s e 1 Inch = 20 feet or 1 grid = 5 x 5 ft 6 2 0 DORCA S S T fyVy gy y , „„,..~,. . >.^.~^»H"1( • ^ ^ ^ Ouadrant Boundary Pos t Excavatio n Concentration s (ppm ) 

S(re«( Boundary ',.",_^^,^ r F2 DZ Easement 

Tr Be/Sh nib 

1 >»i ^ T r B l . Gard e n _ othe r X. < W (« o Dwmitoo o o* po l encavation m«m» F l front yard Ml-hand qu»dr«m. F2. front yard nc ^ hand quadrant, B1. tiackyard left-hand quadrant. B2, backyard nght-hand qLiadrant. 

DZ dnp zona (1-3 fool area of sotI around The fouTKlation of ttM housa) 

Legen d 

Area no t Excavate d Dripzon e Excavate d XiVJ Quadrants Excavate d 

Contrac t #: EP-R7-07-05 Coasta l Environmenta l Group Inc . 
SEPA f 

Property Completion Agreement 

This agreement documents the completion of removal activities perfonned on the below listed property. 

The property owner's signature indicates that the property owner is satisfied with the restoration ofthe 

subject property, and that no items are in question, now, or at any time in the future, excluding any 

remaining sod warranty (30 days total) except those items listed below, if any. 

Property ID: 

Property Address: (pap QpycaAW. 

Owner: 

Phone: 

3^^-^1(^3 ^ 

Restoration Items in Question: 

Item: 

Oo o 4rkT-\-i. \ i^ i fi-JlA.t •„'+-< f>.y^. 

Item: 

Item: i 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

^-^ ^ SoS> i-iS<-^'<-^ \ ^ Pi )>r A-a, ^ 

4 ^ 1 P C e^ v !o^ -On^ v \ t ,<^d>/z_ VA^ ^ . bcJ^ 

^TASALV "H-A-WW , 4 

^ agree restoration is completed, except as noted above. 

I I I do not agree restoration is completed 

y ^^O ^ /- - ^- ^7 

L0wnec^ignature Date 
* 

Omah a Lead Superfund Site 

Miscellaneous Landscaping Replacement Certificate 

Property Owner 

\_jJ!ri__^i:o^^__t±£^^^_^lO ^ AL>0>. 

Property Address (\l O Zr^cfa^A^ 

Property Identification Number i n <"P^ 

Material Removed Replacement Value 

Flower bed area h^.'^ i 

Trees 

Itemized 

shrubs/bushes 

Total 

The acceptance of the replacement certificate and the signature below is full 

acknowledgement by the property owner that this is a fair and reasonable compensation 

for plant materials removed during remediation activities, but not planted or installed by 

the government or it's contractors. 

The total amount of $7."^ . X)0 has been received by the owner in the form of a gift 

certificate, # ^M^U , to be utilized at a_i^Sv:JW ( ' SJCZ ^ NJUU^^^S Q>^, • 

X-t q 

Contractor's Signature Date 
SEB\ 

EPA Property Close Out Form 

Property #: _ /X'5-? 7 Property Address: fS C Oaecfis s-ffiecjDate/Time: Afay:2.1l,.S00 7 Owner's Name: mathu ti'Sfi 

Quads Excavated: Contractor Group 

Excavation General Yes No 

1. If necessary, were the correct quadrant(s) excavated and restored? y 

2. If necessary, were the correct areas of drip zone excavated and restored? t y 

Grading Sod and Vegetation Yes No 

1. Does the grading around the perimeter ofthe house in excavated areas generally slope away 

from the house? y 

2. Has sod been laid in all areas that were excavated? y 

3. Does the sod appear to be generally healthy and growing? (Only evaluate if inspected at a 30 

day time period) y 

4. Are sodded areas generally firm and evenly graded? y 

5. Are the joints between the sod strips generally tight? (Only evaluate if inspected at a 30 day 

time period) i / 

6. Was the property graded such that water will not pool on the property? y 

7. Was damage to landscaping or plant materials avoided? y 

Gates, Fences and Retaining Walls Yes No 

1. Do gates open and close freely? (Ifapplicable) y 

2. Were all gates or fences taken down during restoration activities reinstalled? (Ifapplicable) y 

3. Was damage to gates or fences avoided? (Ifapplicable) y 

4. Was damage to retaining walls avoided? (Ifapplicable) 

i ^ 

Foundation, Siding and Gutters Yes No 

1. Was damage to the siding or trim avoided? y 

2. Was damage to the foundation avoided? </ 

3. Was damage to windows avoided? y 

4. Was damage to windows or door screens avoided? y 

5. Was damage to downspouts or downspout extensions avoided? y 

Sidewalks and Driveways (Concrete) 

Yes No 

1. Was damage to driveway surfaces avoided? y 

2. Was damage to walkway surfaces avoided? 

y 
f 

Owners comments: 

Inspection notes: 

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

EPA Representative .Pc^yg^ Date: s/^3/o-p