## TRANSMITTALo f

OMAHALEAD SITE SOI LREMEDIATIO NFIL EFOLDE R SAI D #: 2Q^')r 5 Date: 5-ZQ' H Address : \{M p hf^fj ^ ^ Remediatio nContractor : Coasta l Environmenta l Grou p Year : 2010ARR A
SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S Vide o o f property (DVD ) 

# vr Executiv e Summar y EPA-provide dproperty sketc h Signe dAcces s Agreemen t fo r subjec t property Signe dAcces s Agreement(s ) fo r adjacent property Restoratio nAgreemen t Settlemen t document s (i.e. , fo r damag e o r to replac e plants , etc. ) Confirmatio ndat a Photograph s As-buil t sketc h 

# y ^ Satisfactory restoratio nsigne db y Property Owne r Property close-ou t chec k lis t signe db y EPA Descriptio nofarea s no t meetin g RO D cleanu p criteri a Utility clearance s Property informatio nfro mDougla s County Assessor' s Offic e



# C l ^ h signature Dat e 30261020 Superfun d

## VV 

## Propert yAcces s Checklis t Propert y ID : 

# >p^Z > nWOR K STARTE D ON : __/__/
_ Propert y Address : D WORKCOMPELTE D ON : / / 

# 'y(d ' ZZMZiL^p^ ^ Renter : 

# Q^"*"" ' Pyt/^'pe-r^M

- lOPT^ n Address : Pbone : 

# lUfPS ^ ipcv ^ ^ ^ ^ Fax : Cell/Pager : 

# CfppPbfP ^ i/te.(j2Z1( D Additiona l Information : 

### Phone : PPi i J 

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. P - Fax : 

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nNotificatio nLette r Sent : / / By : ^^j PAcces s Agreemen t 

### Signed : g^/J^// ^ By = N..c > P PRestoratio nAgreemen t 

### Signed:/^/^ ^ / O By

- V.W.
.

I D Topsoi l Samplin g (i f applicable ) 

### 1 1 By : Q Disposal Samplin g (i f applicable ) 

### 1 1 By :

• Garde nSamplin g (i f applicable ) 

### 1 1 By : [ ^ Utility Clearanc e CaUed : n/ 9,1\ ^ By=u/
. „/ , 0 u* ^ ^ Video/Photo s (Before ) On : \ o / -S o / V. O By = siv^ ^ ' D Video/Photo s (During ) On : / / By : nVideo/Photo s (After ) On : / / By : nVideo/Photo s (30-Day ) On : / / By :

• Propert y Completio nAgreemen t Signed : / / By : D Fina l Repor t Issued : / / By : Ai r Monitorin g (a s applicable ) nCommunit v f" ) Cre w On : / / By : Results :
nCommunit y • Cre w On : / / By : Results :

• Communit y • Cre w On : / / By : Results :

Omah a Lea d Sit e

### Dougla s County Accoun t \ n Pag e 1 of 2 ^ Dougla s County , Nebrask a Propert yRecor d - R174466000 0 Prin t Reoor t Vie wInteractiv e GI S Ma o Informatio n i s vali d a s o f2010-8-3 0 Treasurer' s Ta xRepor t Ne wFeatur e r * r > r¥
. Subdivisio n Sale s Searc h Owne r DUN N ROSSEVELT 160 5 LOCUS TS T 0IV1AHAN E 68110-000 0 Propert yInformatio n Ke yNumber : 446 6 000 0 1 7 Accoun t Type : Residentia l Parce l Number : 174466000 0 Parce l Address : 160 6 MAPL E S T OMAH AN E 68110-000 0 Lega l Description : MILLAR D & CALDWELL' S AD D LOT2 1 BLOC K0 W 3 0 E 12 0 N 71.62 5 FH " 3 0 X 71.62 5 Valu e Informatio n
201 0 200 9 200 8 200 7 200 6 200 5 Lan d $200.0 0 $200.0 0 $200.0 0 $200.0 0 $200.0 0 $200.0 0 Improvemen t $0.0 0 $0.0 0 $0.0 0 $0.0 0 $0.0 0 $0.0 0 Tota l $200.0 0 $200.0 0 $200.0 0 $200.0 0 $200.0 0 $200.0 0 

### Sho wAl l Transaction s

Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0.0 4 2130. 0 0. 0 7 1 : o 30. 0 Ye s



### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R l 7..
. 9/15/201 0

### 3/31/201 1 www.dhon.org/irthintemet/DHONNotic. i 

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## • YOU RTICKE T NUMBE RI S 2700079
. Origina l Cal l Date : 3/31/1 1 Time : 1:2 0 p m 

## op : ALFONS01879 0 Wor k t o Begi n Date : 4/04/1 1 Time : 1:4 5 p m State : N E County : DOUGLA S Place : OMAHA Address : 160 6 Street : MAPL E S T Twp : 15 NRng : 13 E Sect-Qtr : 10-NE-NW-SE-S W 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 AND 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 Compan y: 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 MUDO l OMAHACO F 0PPDGPR 5 QLNNEI C 

## Utilit y Servic e Are a Contac t 

## Phon e Numbe r Typ e Day : 402934046 9 CXCATV CO X COMMUNICATIONS , IN C HEED I Alt : 402934046 9 Emerg : 402932975 7 Day : 402504782 3 METROPOLITA NUTILITIES MUDO l SAND Y MUD Alt : DISTRIC T Emerg : 402504797 0 Day : 402444719 7 

## CITY O FOMAHA

- OMAHACO F RICH/TRAFFIC Alt : 402444516 1 TRAFFICSEWE R Emerg : 402444516 0 Day : 406728934 3 

## OMAHA PUBLIC POWER EL M 0PPDGPR 5 Alt : 406207149 4 

## DISTRIC T LOCATIN G Emerg : 888728934 3 dlion.org/irthinternet/. ../MessageText.as..
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## Consen t fo f Acccis vTo l''io|;a[-t y RIGH TO F ENTR YT O PREMISE S 

### Granto r(th e property ' owner) consent s t o an d authorize s th e Unite d State s Environmenta l Protectio n Agency(EPA ) 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 upo n th e follov/in g describe d premises :

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PURPOS E O F RESPONS E ACTIVITIE S 

### Th e EP Ai s requestin g acces s t o collec t soi l sample s an d remov e soi l tha t contain s elevate d concentration s o flea d an d ma ypos e a healt h hazard
. Th e area(s ) W\\ \ b e excavate d t o remov e contaminate d soil
. Th e remove d contaminate d soi l wil l b e replace d wit h clea n material s an d th e are a wil l b e restore d t o its 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 b yUSEPA , wil l contac t th e Granto rin-perso n t o discus s th e wor k t o b e perfonned , th e Granto rwil l hav e 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 EP Atha t th e propert y ha s bee n remediated
. ENVIRONMENTA L RESPONS E ACTION S 

### Bysignin g thi s Acces s Agreement , th e Granto ri s grantin g th e EPA , it s employees , contractor s an d subcontractor s th e righ t t o ente rth e property , a t al l reasonabl e time s an d wit h prio rnotice , fo rth e sol e purpos e o f performin g th e work
. Thi s acces s shal l remai n i n effec t unti l th e wor k ha s bee n satisfactoril ycompleted
. Th e Granto rals o agree s to :

Pag e 1 of2C 0 AS V Ai 

# \ - z t KVIROHH^KIA t C N 0 U r> ) ^ C 

### Remov e obsiruction s includin g boats , trailers , vehicles , playscap e ilems , woo d piles , do g houses , etc ; Remov e flowe rbulb s o rplant s tha i th e Granto ro rth e Grantor' s tenan t ma ywis h t o save ; Wate ran d maintai n leplacemen l vegetation , includin g fertilize rapplication , a s necessary ' subsequen t t o a n initia l waterin g perio d b yEPA ; Abid e b yheaii h an d safet yguidanc e provide d b yEPA ; I fth e propert yi s rented , assis t EP Ai n obtainin g tenan t approva l fp i acces s l o th e property / t o perfor m th e work
. Allo wvideotapin g and/o rphotographin g o f th e property
. AGREEMEN TNO TT O INTERFER E 

### Th e Granto ragree s no t t o interfer e o rtampe rwit h an yo f th e wor k activities , o rwit 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 t o us e th e propert yi n suc h a manner . Shoul d yo u hav e 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 mypropertie s D I d o no t gran t acces s t o mypropertie s

Signatur e Date Signatur e Date

Q I woul d lik e t o b e presen t durin g an ysamplin g ths f i s required
.

Page 2 o f2COASTA L CNVinONMENTA L CROUP
. INC
. 

## Restoratio n Agreemen t Th e purpos e o f thi s agreemen t i s t o provid e amutual agreemen t 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 are complete dt o th e satisfactio no f th e property owne r an dth e Unite dState s Environmental Protectio nAgenc y (EPA)
.

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.



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Landscap e Inventor y 

## Iter n Quantity Uni t Condition/Type/Specie s Pre-existin g property area , 

# 3' , 02
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# y Number o f tree s < = 2 inc h Eac h 

# J 0 trunk diameter Numbe r o f Sprinkle r y Zones , Contro l Valves , Eac h Timers , Heads , etc . Attac hasketc ho f th e sprinkler layout
. Numbe r o f an dsiz e o f eac hgarden / flower be d Eac h area . Square Fee t Attac hasketc ho f relativ e size s andlocations
. Agree dupo nvalu e o f plan t material s no t t o b e replace db v contractor . Not e thi s valu e wil l b e use dt o issu e aplan t vouche r t o th e propert} ' owner . Easement Area , to b e excavate d 

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Pag e 2 

# yCOASTA L CROUP
. IMC
.
Additiona l Comment s / Instructions : Th e cit y ofOmah a ordinance s ma yprohibi t yo u fro m usin g dir t orgrave l area s on you rpropert y as driveway s orvehicl e parkin g areas . Th e Environmenta l Protectio n Agenc y(EPA ) ma y be removin g an d replacin g soi l underlyin g a grave l ordir t are a on you rpropert ytha t yo u ma y be usin g as a drivewa y orvehicl e parkin g area . If thi s is th e case , yo u shoul d understan d tha t thi s removin g an d replacin g ofsoi l doe s no t mea n tha t an yillega l drivewa y orparkin g are a on you r propert y is mad e legal
. To th e contrary , yo u ma y be cite d byth e cit y if yo u us e a grave l ordir t are a as a drivewa y orparkin g area , no t withstandin g an yremova l orreplacemen t of soi l byth e EPA
. Ifyo u hav e an yquestio n abou t legalit y ofa certai n drivewa y orparkin g area , yo u ma ycontac t th e cit y ofOmaha' s Plannin g Departmen t at (402 ) 444-5150
. I~ l Pleas e chec k thi s bo x ifyo u understan d th e informatio n outline d above
. 

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• Chec k th e bo xifOwne rdoe s no t wan t CE G to documen t interio rfoundatio n wall s an d possibl e pre-existin g damage
. Bycheckin g thi s bo xCE G is no t responsibl e fo ran ydamag e don e to th e interio r ofhouse , includin g foundatio n crack s orfissures
. 

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# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 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 P b 92.42 0 Supervise d By : 

## Certificat e o fVerificatio n

4 6 SOIL 2011-04-0 6 19:1 9 30.1 9 Fina l 2988 5 160 6 Mapl e E A 1 " M
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# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

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

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± Erro r ± 15.51 1

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1 

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

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## Certificat e o fVerificatio n

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

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pp m P b 313.90 8 Supervise d By : 

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

XL3t-3902 2 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 P b 317.83 9 Supervise d By : 

## Certificat e o fVerificatio n

5 2 SOI L 2011-04-0 6 19:2 4 30.2 7 Fina l 2988 5 160 6 Mapl e B l 4 " M
. MATEU S Confirmatio n CLEA R

Erro r ± 27.33 8

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

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s AVERAG E ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

Supervise d By : 

## Certificat e o fVerificatio n

5 7 SOI L 2011-04-0 6 19:2 7 90.3 3 Fina l Av g o f54-5 6 160 6 Mapl e B 2 4 " M
. MATEU S Confirmatio n CLEA R

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

XL3t-3902 2 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 P b 381.81 7 Supervise d By : 

## Certificat e o fVerificatio n

5 4 SOI L 2011-04-0 6 19:2 5 30.0 1 Fina l 2988 5 160 6 Mapl e B 2 4 " M
. MATEU S Confirmatio n CLEA R

±Erro r ±29.84 9

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

XL3t-3902 2 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 P b 345.28 2 Supervise d By : 

## Certificat e o fVerificatio n

5 5 SOIL 2011-04-0 6 19:2 6 30.0 1 Fina l 2988 5 160 6 Mapl e B 2 4 " M
. MATEU S Confirmatio n CLEA R

± Erro r ± 29.31 3

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

XL3t-3902 2 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 P b 340.81 3 Supervise d By : 

## Certificat e o fVerificatio n

5 6 SOI L 2011-04-0 6 19:2 7 30.3 1 Fina l 2988 5 160 6 Mapl e B 2 4 " M
. MATEU S Confirmatio n CLEA R

Erro r ± 29.27 0

## i ^fO ^

\ Omah a Lea d Site—Fixe d Pric e EP-R7-07-0 5 I ^^^ 7 s Coasta l Environmenta l Grou p inc
. Sy^y ^ www.coastalhazmat.co m — ^^iPHO-(* ^ COASTA L EHViaONHENTA L CIIOUP.IN C 

# EXECUTIV ESUMMARY : BVID #29885-(160 6 MAPL EST ) No Issue s o r Concern s \p \Issues/Concern s Detail Explanation : . . _. -DA NGARVE Y WALKE D TH EPROPERT Y O N04/21/1 1

## Propert yCompletio n Agreemen t ihi s agreemen l documeni s llie complcliono f remedia l acliviiie s perloime do nm y properly
. M y signaiui e wil l designate iha i I a msatisfiedwil hlh e resloralio nof m y properly , an diha l n o uem s ar e i nqueslions , now , o r a

l an y lim e i nth e fulure , except ihos e ilems listedbelow , ifan y PropcryfP : ^^^ 5 Propert y Addrc.ss~%^ ^ ZT^ZM p ^ Owner : UpTZZ a^./ I ff J-

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# Q-""

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- ,zQ.6.^z\.^ ^ Phone
. q^cp^U(2.^: hI^Tfh ^ 77^ ^ 97<Z ^ Restoratio n Item s i n Question : j Item :

Ilem : Item : Item : Item : Item :
Additiona l Comments :

Jr J I aj;rc cic.ttoralio n i s completed , excep t a s nole d [ ( I d o no t ajjre cresiorati'n n i s complete d 

# y2 i

## EP APropert y Clos e Ou t For m Propert y# : ^^S ] Propert y Address : Date/Tim e Owner' s Nanie: , li Quad s Excavated*
. Contraclo r Crou p Excavatio nGenera l 1
.

If necessary , wer e th e correc t quadrant(s ) excavate dan drestored ? 2
.If necessary , wer e th e correc i area s ofdri p zon e excavate dan drestored ? GradIn K So dan dVeRetstio n I
.Doe s th e gredth g aroun dth e perimete r ofth e hous e inexcavate darea s generall y slop e awa y front th e house ? 2
. Ha s so dbee nlai dinal l area s that wer e excavated ? i
. Doe s th e iso dappea r to b e generall y health y an dgrowing ? (Onl y evaluat e if inspecte da t a3 0 da y tim e period ) 4
. Ar e sodde darea s generall y firman devenl y graded ? 5 , Ar e thejoint s betwee nth e so dstrip s generall y tight ? (Onl y evaluat e i f inspecte da t a3 0 da y tim e period ) 6
. Wa s th e property grade dsuc htha t wate r wil l no t poo l onth e propeny ? 7
. Wa s dainag e t o landscapin g o r plant material s avoided ? Gates
. Fence s an dReuinln g Wal b I !
. D o gate s openan dclo. w freely? (Ifapplicable ) 2
.Wer e al l gate s o r fence s take ndow ndurin g restoraiio nactivitie s reinsulled ? (i f applicable ) 3
.Wa s damag e t o gate s o r fence s avoided ? (I f applicable ) 4
.Wa s damag e t o retainin g wall s avoided ? (Ifapplicable ) FoundatioB , SidiDK an dGoiter 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 foujidaiio navoided ? 3
. Wa s damag e l 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 extensioii s avoided ? Sidewalt aan dDriveway s (Concrete ) 1
.Wa s damag e l o drivewa y surface s avoided ? 2
.Wa s damag e t o walkwa y surface s avoided ? Yes N o / 

## y Ye s N o / 

## y 

# y 

# z z z z Ve s N o 

# z J 

## J 

# z Yes .N o 

## 7 7 

# 7 7 7
Yi a N o ^ /

## owner s comnients :

I 

## jlnspectior i no<es :

Removal andrestoratio nactivate s complete includin g the 30-da y so dwarranry : EPA Represenlaliv e 9<x"-) ^ Date ; wU'l' t