TRANSMITTAL of OMAHA LEAD SJTE 

PAINT STABILiZATION FILE FOLDER 

SAID #: ^,CQ3g . Date: 8>QQ0 ^ 

Address: 1"^ ^ S cQ ^ ^5i~ 

Remediation Contractor: PROFESSIONAL ENVIRONIVIENTAL ENGINEERS Year: 2009 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

Cr Video of property (DVD) 

\ s y Executive Summary 

S y ^ Signed Access Agreement for subject property 

u y Painting Agreement 

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

y Photographs pfg, A/ ^ bcST 

[ y ^ 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 P0_ 

D 

D 

D 

Professional Envirorunental Engineers Signature Date 

:L/UllUeJ<U7$t' 

ASTgruiture 'Defte 

30094410 

iiiini 

Superfund 
PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC. ''°'''orhtNEe'sno 

"Providing cost-effective environmental solutions" ^ J^°^| !^^fof? 

^ Fax (402) 504-3281 

Consulting • Enginoenng Design • Remediation • Atifitemcnt • Emergencv Rfspoiise 

Lead Base Stabilization Omaha, Ne 

Close Out Report 

2009 

SAID# 20228 

1322 S. 27 St. 

• Dates worked: 07/30 to 07/31 2009 

• Pre property condition: house with stucco siding that was unpainted with painted 

wood trims, house paint was flaking off in some areas, front porch stairs and 

foundation were painted. 

• Problems encountered: None 

• Owner request/concerns. N/A 

• inspection/closeout dates. Owner signed 08/08, EPA signed 08/11 2009 no issues. 
PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC. 

"Providing cost-effective environmental solutions" 

Consulting • Engineering Dcsigii • Remec'iaiion « Ahtiioniciit • FiMF!ici.''ni.v Ht'Cin^ii'i-:-

EPA Close-Out Form 

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

2505 North 24'", Suite 219 

Omaha, NE 68110 

(402) 504-4688 

Fa< (402) 504-3281 

SAID: QpSi'59, 

Property Address: |r^3 5 ^^^ gf ^ c"^-!-

Owner'sName: MldOnf. j E(^C.\ j 

Performance Standards/Close-Out Criteria 

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 

garages. 

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

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

two top coats? 

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

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

vacuumed/ cleaned? 

6. Did the contractor collect/vacuum all lalling and scraped painl 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? 

8. Are all items such as polyethylene sheeting, ladders, paint brushes, cones, 

barrier tape, etc. properly removed? 

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 

that need to be moved back? 

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

been left unresolved? 

YES 

i / 

y 

i / 

y 

y 

i/ 

y 

y 

NO 

y 

y 

y 

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

EPA COR Signature Date 
PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC. 

it^ l "Providina cost-effective environmental solutions" 

2505 North 24% Suite 219 

Omaha. NE 68110 

(402) 504-4688 

Fax (402) 504-3281 

Consulting ' Engineenng Design » Remediation »Abatement • Emeigency Response 

Property Owner Close-Out Form 

(Lead-Based P?mt Stabilization EPA Contract EP-R7-08-06) 

SAID:__ ....':: ^02P-^- -

Property Addresi. / 3 o^o i S ^S" T T H S ' 

Owner's Name: J^iJ^fc I C y M- / ^ ^^^ ' ( •'^ ' ^/^ / Tf ^ 

Perforinance Standards/Ciose-Out Criteria YES NO 

1. Was the entire structure(s) painted wath 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 

garages. 

/ 

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

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

two top coats? 

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

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

vacuiuned/ cleaned? 1/ 

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? 1/ 

T 7. Is the grass area that surrounds the structure(s) in reasonably good condition? 

8. Are all items such as polyethylene sheeting, ladders, paint brushes, cones, 

barrier tape, etc. properly removed? 

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 

that need to be moved back? 

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

been left unresolved? 

Conunents: 

Professional EnvirqpSfental Engineers Representative 

•j 

J 
CONSENT FOR ACCESS TO PROPERTY 

OMAHA LEAD SITE REMEDIAL ACTION - LEAD-BASED PAINT STABILIZATION 

PROPERTY ID: Q C>ol ^ ^ PROPERTY ADDRESS: [r^7. ? 3 ^•^^ ^ ^\ ~ 

lllir^nT[ T y £ r .Icli-Y DAYTIME PHONE: y9 / 9^s/ 

CELLPHONE: 12]=:lA^ll^2^ 6 E-MAIL: 

OWNER'S ADDRESS IF DIFFERENT: 

TE;N/VNT'S NAME IF APPLICABLE: 

CELLPHONE: 

/S^O y Letc^jr^^ e r A^^^^ - j5 ^ //e\/C<e^ JJ) fc" ^^Go. 7, 

DAYTIME 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 identifled 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, ifthe soil cleanup has not already been performed. I understand that the stabilization contractor 

can not provide assurances that 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,|have read m d utu^rehind H^eA^ragoiph above. 

Signature of Property Owner 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 flnal 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 402-504-4688. General questions about the Omaha 

Lead Site cleanup can be directed to Pauletta France-Isetts, EPA Remedial Project Manager 402-731-2454, or the EPA Public 

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

^ Yes, I grant access to my property and was given the pamphlet 

"Renovate Right, Important Lead Infonnation for Families, Child 

Care Providers, and Schools." . 

y}<^/yj "^y. -^y^ 

Signature / v yn ^ 

D No, I do not grant access to my property and I was 

given the pamphlet "Renovate Right, Important Lead 

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

Signature Date 

SPECIAL INSTRUCTIONS AND CONSIDERATIONS 
M7 

1322 S P?^ (^St" BATC - j 11,^" ^ O 1 

BMD 

AiffiA(i) TO BS iMiiieifE& 

/H.^Ut -j^ASi .-samo. 

HOUSETRIM. JQOUNt 

OMIM^ jCOUMt 

OARASEHOM . .GOLOR 

T 

PORCH. JCXIUHL 

(OOMMCTe JUL SecnOl i YE% NO^ OR NON-APPUGAMLE) 

I AGREE TO THE COLORS LISTED ABOVE. ONCE PAUniNG BEGINS I 

UNDERSTAND I CAN NOT CHANGE THE ABOVE SEUECTED COLORS: 

pfmtaAim n m oene 
Douglas Coimty Accoimt Information Page I of 2 

.±aoaasDouglas County, Nebraska Property Record - R1238470000 

Information is valid as of 2009-6-16 

Print Report 

NEW Feature - Parcel Dimensions available @ scale 0-50 ft west of S2nd St - Vle W O n Ma P 

Treasurer's Tax Report 

New Feature *•-•- • Auto Sales Search 

Owner 

ECKLEY MICHAEL J 

ETAL TR 

1507 LAWRENCE LN 

BELLEVUE NE 68005-0000 

'SIO-^I'IVI • ^iH^-^^r^-3^^^ 

c^q|-%S-| 

Property Information S:-.pff ^ - p ^ Key Number: 3847 OOOO 12 y^ ^ 

^ 

Account Type: 

Parcel Number: 

Residential 

^ 

1238470000 

; ^ ' Parcel Address: 1322 8 27 ST 

OMAHA NE 68105-0000 

Legal Description: HANSCOM PLACE LOT 6 BLOCK 14 50 X 152.3 

Value Information 

Land Improvement Totel 

2009 $5,300.00 $64,900.00 $70,200.00 

2008 $5,300.00 $64,900.00 $70,200.00 

2007 $5,300.00 $64,900.00 $70,200.00 

2006 $5,300.00 $50,300.00 $55,600.00 

2005 $5,300.00 $50,300.00 $55,600.00 

2004 $5,300.00 $50,300.00 $55,600.00 

Sales Information 

Sales Date: 2004-06-03 

Deed Type: WDM Soolr; 2004 Page: 076035 

Price: $0.00 

Grantor Michael Eckley Etal 

Grantee: Michael Eckley Etal Tr. 

Valid/invalid: Invalid 

Exclusion Reason: Family Sale 

Land Information 

Acres SF Untts Depth Widtii Vacant 

0.17 7600.0 1.0 152.0 50.0 No 

Improvement Information 

http://douglasne.mapping-online.com/DougIasCoNe/static/accountinfo.jsp?accoimtno=RI23... 7/8/2009 
Douglas Coimty Account Information Page 2 of2 

Building 1 

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CLICK TO ENLARGE IMAGE 

Square Footage: 

Perimeter 

Unit Type: 

BuiitAs: 

HVAC: 

Exterior: 

Interior: 

Roof Cover: 

Roof Type: 

Floorcover: 

YearBuitt 

1885 

• -i . 

1235,0 

0.0 

1 1/2 Story Unfin 

Central Air to Air 

Frame Stucco 

Drywali 

Composition Shingle 

Gable 

Allowance 

Year 

Remodeled 

0 

1 

Detail Type 

Add On 

Add On 

Appliance 

Basement 

Fixture 

Fixture 

Porch 

Porch 

User 

tr 

1 

fotiflsaUKWmt " « 

tr f^ 

tt no 

I'is' 

liiiou, n 

1 1/2 STORY UNI 

1 PLIgKTQENlA'^gEIMAgE 

Percent Complete: 

Quality: 

Condition: 

Condo Square Footage: 

Rooms: 

Units: 

Baths: 

Bedrooms: 

Stories: 

Foundation: 

Sprinkler Square Footage: 

Percent 

Remodeled 

0% 

Adjusted Year 

Bum 

1885 

-INISHED 

1 

100.0% 

Average 

Average 

0.0 

6.0 

1.0 

1.0 

2.0 

1.5 

Block 

0.0 

Physical Age 

122 

Deteil Description 

Fence Chain Link 

Unfinished Attic W/floor 

Allowance 

Bsmnt Block 8 ft 

Base Fixtures 

Bath Full 

End Screen 

Slab Roof Ceil 

Poor roof 

Unite 

1.0 

1235.0 

1.0 

1235.0 

1.0 

1.0 

25.0 

119.0 

1.0 

http://dougIasne.mapping-online.eom/DouglasCoNe/static/accountinfo.jsp?accountno=R 123... 7/8/2009 
IGIT 

Property Address J 3^3 0 S ^^Jl/ l ^- T Date 

Start Date O ^ / '^o/o ^ End Date Q 7 / : \ d J O ^ 

Prime (Gallons) 

Poly (Boxes 

Paint (Color; 

Paint (Color; 

Paint (Color; 

Paint (Color 

Paint (Color] 

Amount Of Prime And Paint Used 

3 fio^^^ 

\ j j (/I I T€ ^ Amount (Gallons) 

iJgr-/ ^ G-f^ ^ Amount (Gallons) 

Amount (Gallons) 

Amount (Gallons) 

Amount (Gallons) 

loGr^l 

i^di