TRANSlMiETTAL of OMAHA LEAD SUTE 

PAINT STABILiZATION FILE FOLDER 

SAID #: 0 h4-1-2^ Date: ^ < 7.' 0 ^ 

Address: 7.^0?. ?opple.tnn /W^ 

Remediation Contractor: PROFESSIONAL ENVIRONMENTAL ENGINEERS Year: 2009 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUIVIENTS 

y\y(de o of property (DVD) 

u Executive Summary 

Signed Access Agreement for subject property 

Painting Agreement 

D ement documents (i.e., for damage or to replace plants, etc.) 

Photographs DTg 

Satisfactory restoration signed by Property Owner 

y^ Property close-out check list signed by EPA 

y Property information from Douglas County Assessor's Office 

y^ confirmation that lead pamphlet "Renovate Right" was received by PO 

D 

D 

D 

Professional Eiiviwrimental bngineers Signature 

^ Date 

30094413 

'und 
PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC.

"Providing cost-effective environmental solutions"

 '''''ol' t NEesiJo 

 ^^.^ [JQ^J lQX32T^ 

Consulting • Engineering Design • Remediation • AbaiCMiciil • Emoryoncy Response 

Lead Base Stabilization Omaha, Ne 

Close Out Report 

2009 

SAID# 20472 

2703 Poppleton Ave. 

• Dates worked: 08/14 to 08/17 2009 

• Pre property condition: House had wood siding with wood trims flaking and chipping 

paint, wood porch floors and trim area was all in poor condition. Paint chips in yard. 

• Problems encountered: None 

• Owner request/concerns: Color change. Owner had many colors on house and 

changed many things with his color. 

• Inspection/closeout dates. Owner signed 08/18 2009. EPA signed 8/21 2009 No issues. 
PROFESSIONAL 

2505 North 24'", Suite 219 ENVIRONMENTAL ENGINEERS, INC. Omaha. NE 68110 

(402) 504-4688 "Providing cost-effective environmental solutions" Fax (402) 504-3281 

Consulting • Engineenng Oesigri • ReirieuiMtifiii • AtKneniont • rntPrcio'ii.'.. F;f",.|«iiKt 

EPA Close-Out Form 

(Lead-Based Paint Stabilization EPA Contract EP-R7-08-06) 

SAID. so,m-2) 

Property Address: ^Q TC^ ^ yv^. f\s/e^ 

Owner's Name: r\\iAr}\^ ^ hylpc. 

Performance Standards/Close-Out Criteria YES NO 

I. Was the entire structure(s) painted with the exception ofthe stated, excluded 

areas? This would include painting of other associated features including fascia, 

eaves, siding, all trim, porches, box beams, columns, rails, and exterior surfaces of y garages. 

2. Was all scraping and other preparation work completed satisfactorily? y 3. Were all required areas ofthe structure(s) primed as needed and painted with 

two top coats? y 

4. Was the paint products utilized equivalent lo a 30 year product/quality? y 5. Are all ofthe areas where contaminated materials have been spilled thoroughly 

vacuumed/ cleaned? / 

6. Did the contractor collect/vacuum all falling and scraped paint chips on the 

entire property, roadways, alleyways, public access areas and also remove any / 

other generated debris? 

7. Is the grass area that surrounds the structure(s) in reasonably good condition? y 8. Are all items such as polyethylene sheeting, ladders, paint brushes, cones, 

barrier tape, etc. properly removed? \ y 

9. Is there any evidence of property damage that was done by the contractor? Any 

property damage needs to be completed prior to the EPA Close-Out. / 

10. Are there any property items that were temporarily re-located by the contractor 

y that need to be moved back? 

11. Are there any (known) lingering issues with the property owner(s) that have 

been left unresolved? y 

Other Considerations/Property Owner Discussions/Additional Work that is Required: 

/^J^rhdT/^ 

EPA COR Signature Date 

i 
PROFESSIONAL 

2505 North 24'i\ Suite 219

ENVIRONMENTAL ENGINEERS, INC. Omaha, NE 68110 

(402) 504-4688 "Providing cost-etfective environmental solutions" Fax (402) 504-3281 

Consulting • Engineering Des.gn " Remed.ation • Abatement » Emeigency Response 

Property Owner Close-Out Form 

(Lead-Based Paint Stabilization EPA Contract EP-R7-08-06) 

SAID: ,3rim^"3:3 , 

Property Address: Q^Q S , POpjOkteTt , I\J ^ 

Owner's Name: J^^ai^aa n ' P IX/^ . 

tr 

Performance Standards/Close-Out Criteria YES NO 

I. Was the entire structure(s) painted with the exception ofthe stated, excluded 

areas? This would include painting of other associated features including fascia, 

eaves, siding, all trim, porches, box beams, coluntms, rails, and exterior surfaces of ly 

garages. 

2. Was all scraping and other preparation work completed satisfactorily? u 

3. Were all required areas ofthe structure(s) primed as needed and painted with 

\j two top coats? 

4. Was the paint products utilized equivalent to a 30 year product/quality? u 

5. Are all ofthe areas where contaminated materials have been spilled thoroughly 

vacuumed/ cleaned? V

6. Did the contractor collect/vacuum all falling and scraped paint chips on the 

entire property, roadways, alleyways, public access areas and also remove any 

other generated debris? / / 

7. Is the grass area that surroimds the structure(s) in reasonably good condition? \ / 

8. Are all items such as polyethylene sheeting, ladders, paint brushes, cones, \j barrier tape, etc. properly removed? 

9. Is there any evidence of property damage that was done by the contractor? Any t/

property damage needs to be completed prior to the EPA Close-Out. 

10. Are there any property items that were temporarily re-located by the contractor )J that need to be moved back? 

11. Are there any (known) lingering issues with the property owner(s) that have 

been left unresolved? 

Comments: 

y i 

/- wgy Propecfy Qv/x Date 

'^-ll-o^ 

Professiona ionall Environmental Engineers Representative Date 

0 
CONSENT FOR ACCESS TO PROPERTY 

OMAHA LEAD SITE REMEDIAL ACTION - LEAD-BASED PAINT STABILIZATION 

PROPERTY ID: r^(Ti"l ^ PROPERTY ADDRESS: O^ 7 O 5 f'h pple t/n R\J^ 

OWNER NAME: 

Ab^i-Karx Q^i ^ DAYTIME PHONE: 4P7- - ^0(g-'^Q4 S 

CELLPHONE: 4o2 - -B>Ofc> '-^M S E-MAIL: n /AVVyAxfX . Dv\Vz?. (°LCi>n^y^ UOmW\M /.c^m 

OWNER'S ADDRESS IF DIFFERENT: 

TENANT'S NAME IF APPLICABLE: 

DAYTIME PHONE: 


CELL PHONE: E-MAIL: 


Professional Environmental Engineers, Inc. (PE) is under contract (#EP-R7-08-06) with the U.S. Environmental Protection 

Agency (EPA) to stabilize lead based paint (LBP) on residential structures at a number of properties located in Omaha, 

Nebraska. The paint stabilization work is being done to protect the soil cleanups that are being performed by EPA contractors. 

Paint stabilization activities will include: scraping ofcracked or flaking LBP from structures, application ofa prime coat and two 

(2) coats of paint. Moving parts of windows and doors are not included and will not be addressed. 

Your cooperation is requested in giving permission to this EPA contractor (PE) to enter and have access to this property for the 

purpose of stabilizing lead -based paint as outlined on the property identified above. 

By signing this document I agree to allow an EPA contractor to conduct a soil cleanup at my property following completion of 

lead-based paint stabilization, if the soil cleanup has not already been performed. I understand that the stahili79tinn contracter 

caii Hut ijiuviiic assurances [hat the soil cleanup contractor will be bound to. I further understand that the soil cleanup 

contractor will make all reasonable efforts to address concerns that I, as the property owner, may have regarding soil cleanup at 

my property. 

Yes, I have read and uaderctand the pongraph above, ^ ' 7-//- O'f 

/^natur e of Property 0*ner Date 

I fully understand that by signing this Consent for Access, (1) this access will remain in effect until the work has been 

satisfactorily completed, (2) that the Property Owner or Tenant, if applicable, will be given the Housing and Urban Development 

(HUD) and EPA pamphlet, "Renovate Right, Important Lead Hazard information for Families, Day Care Providers, and 

Schools", (3) the Property Owner or tenant will remove all obstructions from surfaces to be painted, (4) will abide by health and 

safety guidance provided by EPA, (5) will allow photography of property before and after the paint stabilization work, (6) will be 

contacted by a PE representative approximately 48 hours in advance of starting work, (7) agree not to obstruct or tamper with 

any ofthe LBP stabilization actions, and (8) will participate in final property inspection and sign the Completion Agreement and 

Property Owner Satisfaction Survey. 

Should you have any questions about the planed Lead Based-Paint stabilization activities for your property, please contact 

Professional Environmental Engineers, Inc. Project Manager, Willie Clay At 402-S04-4688. General questions about the Omaha 

Lead Site cleanup can be directed to Pauletta France-Isetts, EPA Remedial Project Manager 402-731-24S4, or the EPA Public 

Information Centers at 402-991-9583 (North Omaha office) or 402-731-3045 (South Omaha office). 

^y^Yes, I grant access to tny property and was given the pamphlet D No, I do not grant access to my property and I was 

^Renovate Right important Lead Information for Families, Child given the pamphlet "Renovate Right, Important Lead 

Care Providers, and Schools." Information for Families, Childe Care Providers, and Schools." 

?y,.., ed^f^. 7iMt 

SignAute / Date Signature Date 

SPECIAL INSTRUCTIONS AND CONSIDERATIONS 
lr?: ' 

PMMT MMCU mBEmmEMT 

KmnBmmmesSs 210 3 Pop^ls^o^ A^ DATE g//(Vpq 

BVID -

I AREA(S} TO BE PAINHEDs 

6./ l44« ^Yaf(\^e %f\ SVi/ 2^5.^ 

HmisB-nmi y^.^ ^v^^^ COLOR Dov^r W/i.f^ 5W (pSSS 

Hous^ flccfc^f ' BU^ k rc.)(. S\N 702.0 

G4RABE \|/:> .CXHOR ,Syg-q,gff T;^^ ^W 2^^ < 

GARAGE TRIM .JiJi:^ cnm R "bov^r \Ay^1^1.• 5 w (^3^ ^ 

^ 

\f/5 /fw l COLOR <^^^g^ % •^\/ii umi 

S^fh^ 7Ck) 

COLOR 

(GOMPLEfE AU SECnOli YES^ n a OR NON-APPUCABLE) 

I AGREE TO THE GOLORS LISTED ABOVE. ONCE PAINnNG BEGINS I 

UNDERSTAND I CAN NOT CHANGE THE ABOVE SEUECTED COLORS: 

PADMrmTQHroRESOQnS 
Douglas Coimty Accoimt Information Page 1 of3 

*_^3D^2. J. »^—.,.- ^........f 

Douglas County, Nebraska Property Record - R1238420000 

Print Report 

NEW Feature - Parcel Dimensions available (S scale 0-SO ft west of 52nd St - VlO W O n Ma p Information is valid as of 2009-6-16 Treasurer's Tax Report 

New Feature ••"-•-• Auto Sales Search 

Owner 

DYKE NATHAN P 

ETAL 

2703 POPPLETON AVE 

OMAHA NE 68105-0000 

Property Informatio n 

Key Number: 3842 OOOO 12 

Account Type: Residential 

Parcel Number 1238420000 

Parcel Address: 2703 POPPLETON AV 

OMAHA NE 68105-0000 

Legal Description: HANSCOM PLACE LOT 2 BLOCK 14 E 50 FT LTS 1& 50 X 100 

Value Informatio n 

Land Improvement Totel 

2009 $4,400.00 $93,900.00 $98,300.00 

2008 $4,400.00 $93,900.00 $98,300.00 

2007 $4,400.00 $93,900.00 $98,300.00 

2006 $4,400.00 $70,400.00 $74,800.00 

2005 $4,400.00 $70,400.00 $74,800.00 

2004 $4,400.00 $70,400.00 $74,800.00 

Sales Informatio n 

Sales Date: 2007-04-02 

Deed Type: WD Book: 1 2007 Page: 037579 

Price: $114,000.00 

Grantor: Rogers Michael etal 

Grantee: Dyke Nathan P etal 

Valid/Invalid: Valid 

Exclusion Reason: 

Sales Date: 2005-04-22 

Deed Type: WD Book: 2005 Page: 047399 

Price: $107,000.00 

Grantor JOHN L LINCOLN ETAL 

http://dougIasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=RI23... 7/8/2009 
Douglas County Account Information Page 2 of 3 

Grantee: MICHAEL RODGERS ETAL 

Valid/Invalid: Valid 

Exclusion Reason: 

Land Informatio n 

Acres SF Untts Depth Widtii Vacant 

0.11 5000.0 1.0 100.0 50.0 No 

Improvemen t Informatio n 

Building 1 

" .»(» 

»!(• 73V 

fr,»>'V« 

lIMDs! "\ « « f «» t n4t«lkJFI»^ *i 

m i 

•J 

Its 1 ­ j Tit- i3ir I 

...iMBvtW.: 

BswtBbcktm 

1 1/2 STORY FINISHED 

_£LjCKTgEN^RGEJWlAGE_ 

Square Footage: 1675.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Average 

Built As: 1 1/2 Story Fin Condo Square Footage: 0.0 

HVAC: Central Air to Air Rooms: 6.0 

Exterior: Frame Siding Units: 1.0 

Interior: Drywali Baths: 1.0 

Roof Cover: Composition Shingle Bedrooms: 3.0 

Roof Type: Gable Stories: 1.5 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Percent Adjusted Year YearBuitt Physical Age Remodeled Remodeled Bum 

1917 0% 1917 

91 

Deteil Type Deteil Description Untts 

Add On Unfinished Attic W/floor 

1040.0 

Appliance Allowance 

1.0 

Basement Bsmnt Block 8 ft 

1040.0 

Fixture Base Fixtures 

1.0 

http://dougIasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=RI23... 7/8/2009 
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Property Address /J ^ O 3) T^n/9|f-Jol| Date 

Start Date n)^/i4/oQ | End oate V ^ I J j ^ / Q ^ 

Amount Of Prime And Paint Used 

Prime (Gallons) 

Poly (Boxes 

Paint (Color; 7^-^T) Amount (Gallons) J G<^/ 

Paint (Color] ^f^S Amount (Gallons) ^BgA/ 

Paint (Color Amount (Gallons) gfrA 

Paint (Color (7iH { Amount (Gallons) i7>^\ 

Paint (Color Amount (Gallons)